| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,380 |
3,785 |
$206K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,802 |
1,644 |
$135K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
609 |
517 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
519 |
475 |
$39K |
| 92551 |
|
2,305 |
2,016 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
411 |
372 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,699 |
1,584 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
202 |
178 |
$14K |
| 87428 |
|
174 |
174 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
534 |
271 |
$11K |
| 96160 |
|
704 |
601 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
614 |
528 |
$10K |
| 99173 |
|
1,001 |
886 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
241 |
231 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
442 |
394 |
$5K |
| 90734 |
|
208 |
153 |
$5K |
| 90686 |
|
357 |
331 |
$3K |
| 90651 |
|
30 |
25 |
$3K |
| 83655 |
|
108 |
90 |
$1K |
| 90670 |
|
118 |
104 |
$1K |
| 90716 |
|
32 |
25 |
$611.30 |
| 90707 |
|
50 |
40 |
$579.79 |
| 90715 |
|
28 |
25 |
$295.26 |
| 85018 |
|
124 |
103 |
$285.24 |
| 90698 |
|
32 |
28 |
$204.80 |
| 96127 |
|
12 |
12 |
$175.20 |
| 90685 |
|
13 |
13 |
$83.20 |
| 90681 |
|
12 |
12 |
$76.80 |
| 1003F |
|
656 |
556 |
$0.00 |
| 3210F |
|
164 |
151 |
$0.00 |
| 4035F |
|
502 |
436 |
$0.00 |
| 4274F |
|
56 |
53 |
$0.00 |
| 3725F |
|
196 |
153 |
$0.00 |
| 4120F |
|
17 |
16 |
$0.00 |
| 3511F |
|
53 |
41 |
$0.00 |
| 1036F |
|
171 |
128 |
$0.00 |
| 3351F |
|
129 |
97 |
$0.00 |
| 2010F |
|
42 |
30 |
$0.00 |
| 97802 |
|
100 |
67 |
$0.00 |