| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,979 |
1,608 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
417 |
287 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,017 |
593 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
237 |
215 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
205 |
177 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
107 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
84 |
66 |
$7K |
| 90686 |
|
229 |
200 |
$2K |
| 90670 |
|
109 |
92 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
46 |
$847.80 |
| 96127 |
|
58 |
49 |
$846.80 |
| 99173 |
|
110 |
110 |
$819.50 |
| 90688 |
|
53 |
50 |
$445.97 |
| 90698 |
|
66 |
51 |
$409.60 |
| 90734 |
|
23 |
17 |
$147.20 |
| 90633 |
|
21 |
14 |
$134.40 |
| 90685 |
|
21 |
19 |
$134.40 |
| 90715 |
|
17 |
12 |
$108.80 |