| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
526 |
506 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
323 |
310 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
284 |
255 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
231 |
228 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
170 |
168 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
211 |
204 |
$3K |
| 90670 |
|
208 |
205 |
$3K |
| 90648 |
|
210 |
209 |
$2K |
| 92551 |
|
203 |
201 |
$2K |
| 90723 |
|
162 |
160 |
$2K |
| 83655 |
|
129 |
128 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
15 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
146 |
145 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
37 |
$1K |
| 99460 |
|
12 |
12 |
$973.80 |
| 90686 |
|
79 |
79 |
$904.29 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
14 |
$826.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
92 |
91 |
$705.54 |
| 90651 |
|
28 |
28 |
$655.93 |
| 90633 |
|
45 |
44 |
$514.35 |
| 99173 |
|
144 |
142 |
$357.42 |
| 90734 |
|
16 |
16 |
$310.04 |
| 90710 |
|
21 |
21 |
$222.75 |
| 90696 |
|
21 |
21 |
$211.75 |
| 90685 |
|
15 |
15 |
$171.05 |
| 81003 |
|
13 |
12 |
$29.90 |