| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
273 |
235 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
55 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
129 |
129 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
30 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
89 |
69 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
29 |
$907.70 |
| 87081 |
|
57 |
47 |
$330.60 |
| 96127 |
|
12 |
12 |
$175.20 |
| 36416 |
|
35 |
33 |
$114.80 |
| 80061 |
Lipid panel |
12 |
12 |
$74.64 |
| 85018 |
|
16 |
16 |
$37.12 |