| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,459 |
2,159 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
857 |
795 |
$106K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
226 |
216 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
181 |
163 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
165 |
153 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
921 |
873 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
124 |
114 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
119 |
112 |
$2K |
| 86769 |
|
43 |
43 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
132 |
125 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$624.58 |
| 90670 |
|
37 |
26 |
$605.28 |
| 90688 |
|
19 |
17 |
$374.00 |
| 87807 |
|
16 |
16 |
$187.03 |