| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,819 |
1,647 |
$87K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
233 |
184 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
213 |
184 |
$16K |
| 90686 |
|
620 |
544 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
267 |
199 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
365 |
328 |
$4K |
| 96160 |
|
258 |
202 |
$4K |
| 81002 |
|
768 |
658 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
83 |
74 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
13 |
$1K |
| 90734 |
|
33 |
17 |
$989.30 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$903.76 |
| 81000 |
|
188 |
173 |
$501.61 |
| 81003 |
|
196 |
133 |
$427.28 |
| 90700 |
|
43 |
40 |
$365.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20 |
17 |
$314.00 |
| 1003F |
|
58 |
50 |
$3.75 |
| 97802 |
|
16 |
16 |
$0.00 |