| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,457 |
5,118 |
$609K |
| 92550 |
|
4,147 |
2,433 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
490 |
414 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
419 |
251 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
235 |
216 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
164 |
147 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,980 |
1,227 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,665 |
1,324 |
$12K |
| 92015 |
Determination of refractive state |
635 |
583 |
$12K |
| 92551 |
|
718 |
664 |
$7K |
| 90686 |
|
135 |
130 |
$3K |
| 90698 |
|
134 |
117 |
$3K |
| 81002 |
|
878 |
810 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
276 |
75 |
$2K |
| 90734 |
|
56 |
51 |
$1K |
| 90715 |
|
71 |
62 |
$1K |
| 90670 |
|
47 |
42 |
$963.80 |
| 90707 |
|
24 |
24 |
$577.36 |
| 90716 |
|
25 |
25 |
$549.42 |
| 90680 |
|
15 |
12 |
$288.68 |
| 90633 |
|
12 |
12 |
$256.08 |