| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
842 |
762 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
176 |
152 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
194 |
162 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
442 |
382 |
$8K |
| 96127 |
|
331 |
258 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
82 |
63 |
$6K |
| 90686 |
|
184 |
173 |
$2K |
| 90656 |
|
71 |
66 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$172.70 |
| 83655 |
|
12 |
12 |
$142.32 |
| 85018 |
|
61 |
52 |
$141.52 |