| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
357 |
323 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
384 |
357 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
175 |
169 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
151 |
150 |
$12K |
| 90670 |
|
138 |
138 |
$4K |
| 90723 |
|
81 |
81 |
$1K |
| 90648 |
|
99 |
99 |
$1K |
| 90686 |
|
87 |
87 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$961.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
42 |
$595.92 |
| 90681 |
|
13 |
13 |
$249.30 |
| 83655 |
|
14 |
14 |
$183.71 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$173.51 |
| 90633 |
|
12 |
12 |
$123.75 |
| 85018 |
|
41 |
41 |
$111.84 |
| 99174 |
|
12 |
12 |
$67.04 |
| 36416 |
|
46 |
45 |
$21.64 |