| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,428 |
2,286 |
$100K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
844 |
803 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
457 |
457 |
$47K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
355 |
354 |
$41K |
| 87631 |
|
230 |
228 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
318 |
316 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
809 |
799 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
59 |
58 |
$6K |
| 99173 |
|
1,083 |
1,076 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
502 |
495 |
$2K |
| 99188 |
|
105 |
104 |
$2K |
| 92552 |
|
467 |
464 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
38 |
$1K |
| 90686 |
|
152 |
151 |
$840.00 |
| 90670 |
|
37 |
37 |
$735.00 |
| 96127 |
|
452 |
446 |
$352.84 |
| 92551 |
|
197 |
197 |
$243.66 |
| 83718 |
|
26 |
26 |
$151.65 |
| 90633 |
|
12 |
12 |
$137.50 |
| 82465 |
|
26 |
26 |
$130.15 |
| 96160 |
|
447 |
446 |
$89.81 |
| 96161 |
|
13 |
13 |
$0.00 |
| 90651 |
|
37 |
37 |
$0.00 |
| 90619 |
|
25 |
25 |
$0.00 |
| 90656 |
|
77 |
77 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |