| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,873 |
1,611 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
651 |
458 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
348 |
327 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
171 |
156 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
199 |
175 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
149 |
141 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
37 |
31 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
150 |
139 |
$2K |
| 90670 |
|
133 |
119 |
$2K |
| 90686 |
|
132 |
112 |
$2K |
| 99000 |
|
87 |
76 |
$2K |
| 90661 |
|
53 |
47 |
$830.73 |
| 90697 |
|
31 |
30 |
$518.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
13 |
$492.60 |
| 90633 |
|
19 |
15 |
$317.49 |
| 87807 |
|
31 |
31 |
$268.87 |
| 90681 |
|
13 |
13 |
$217.23 |
| 96127 |
|
13 |
13 |
$117.00 |