| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,458 |
5,807 |
$515K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,759 |
1,632 |
$197K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,040 |
1,031 |
$112K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
778 |
766 |
$78K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
365 |
353 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,188 |
2,988 |
$31K |
| 90686 |
|
822 |
789 |
$18K |
| 92551 |
|
1,362 |
1,335 |
$13K |
| 90670 |
|
411 |
411 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
545 |
499 |
$6K |
| 90647 |
|
191 |
191 |
$4K |
| 99173 |
|
1,225 |
1,199 |
$3K |
| 90723 |
|
132 |
132 |
$3K |
| 87428 |
|
76 |
67 |
$2K |
| 90656 |
|
80 |
79 |
$2K |
| 96161 |
|
692 |
593 |
$2K |
| 90633 |
|
68 |
67 |
$2K |
| 90710 |
|
38 |
38 |
$884.64 |
| 90681 |
|
36 |
36 |
$838.08 |
| 96127 |
|
147 |
140 |
$659.71 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
28 |
$657.46 |
| 90671 |
|
27 |
25 |
$582.00 |
| 96160 |
|
146 |
141 |
$385.57 |
| 90677 |
|
15 |
15 |
$349.20 |
| 99177 |
|
67 |
67 |
$334.68 |
| 83655 |
|
25 |
25 |
$276.56 |
| 85018 |
|
64 |
64 |
$143.35 |
| 87807 |
|
14 |
14 |
$129.47 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$18.00 |
| 36416 |
|
222 |
198 |
$1.50 |