| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,214 |
3,523 |
$326K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
428 |
385 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
375 |
338 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
259 |
238 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
232 |
194 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
320 |
268 |
$5K |
| 90686 |
|
371 |
351 |
$4K |
| 90670 |
|
86 |
81 |
$1K |
| 90656 |
|
43 |
42 |
$722.77 |
| 90651 |
|
62 |
42 |
$681.20 |
| 90734 |
|
70 |
57 |
$655.66 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
25 |
$434.03 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$313.00 |
| 90648 |
|
15 |
15 |
$96.00 |
| 90723 |
|
15 |
15 |
$96.00 |
| 90715 |
|
12 |
12 |
$76.80 |