| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
967 |
829 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
186 |
169 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
180 |
162 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
129 |
113 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
57 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
181 |
162 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
102 |
100 |
$1K |
| 90670 |
|
78 |
75 |
$988.77 |
| 90686 |
|
123 |
119 |
$844.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
19 |
$688.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
29 |
$502.40 |
| 90734 |
|
12 |
12 |
$469.05 |
| 90685 |
|
48 |
44 |
$412.04 |
| 86580 |
|
16 |
12 |
$64.00 |
| 81002 |
|
17 |
14 |
$44.20 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
41 |
41 |
$0.00 |