| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
483 |
445 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
262 |
237 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
165 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
83 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
397 |
342 |
$6K |
| 92551 |
|
345 |
340 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
44 |
$4K |
| 96160 |
|
189 |
187 |
$3K |
| 87428 |
|
32 |
31 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$834.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
39 |
28 |
$723.59 |
| 90734 |
|
28 |
28 |
$467.88 |
| 99173 |
|
52 |
51 |
$387.40 |
| 85018 |
|
15 |
12 |
$34.80 |
| 3210F |
|
56 |
56 |
$0.00 |
| 1003F |
|
192 |
185 |
$0.00 |
| 3351F |
|
104 |
103 |
$0.00 |