| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,178 |
1,031 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
303 |
258 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
54 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
59 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
41 |
$996.34 |
| 90656 |
|
50 |
48 |
$844.93 |
| 90686 |
|
66 |
66 |
$769.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$204.10 |
| 85018 |
|
42 |
32 |
$96.15 |
| 90688 |
|
12 |
12 |
$76.80 |
| 81002 |
|
12 |
12 |
$31.20 |