| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,334 |
3,711 |
$382K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
867 |
812 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
660 |
649 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
546 |
460 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
219 |
213 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,099 |
1,834 |
$18K |
| 90686 |
|
791 |
743 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
57 |
$8K |
| 90670 |
|
303 |
272 |
$7K |
| 90698 |
|
261 |
230 |
$6K |
| 90685 |
|
156 |
148 |
$3K |
| 99173 |
|
1,208 |
1,159 |
$3K |
| 90680 |
|
62 |
56 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
16 |
$381.74 |
| 90651 |
|
16 |
14 |
$325.92 |
| 90633 |
|
13 |
13 |
$302.64 |
| 90744 |
|
12 |
12 |
$256.08 |