| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
470 |
405 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
413 |
369 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
501 |
446 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
308 |
276 |
$23K |
| 90686 |
|
523 |
478 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
44 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
133 |
55 |
$2K |
| 99460 |
|
44 |
37 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
80 |
75 |
$2K |
| 90670 |
|
225 |
200 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
49 |
$857.26 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
22 |
14 |
$838.30 |
| 90723 |
|
82 |
80 |
$519.68 |
| 90680 |
|
81 |
79 |
$513.28 |
| 90647 |
|
75 |
68 |
$473.92 |
| 96127 |
|
32 |
27 |
$452.60 |
| 90633 |
|
60 |
54 |
$377.60 |
| 90698 |
|
50 |
41 |
$249.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
13 |
$166.86 |