| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,204 |
945 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,245 |
1,068 |
$54K |
| 99215 |
Prolong outpt/office vis |
595 |
498 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
80 |
78 |
$5K |
| 90686 |
|
150 |
103 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
30 |
27 |
$1K |
| 90670 |
|
33 |
32 |
$658.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
25 |
$498.37 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$307.80 |
| 90647 |
|
14 |
14 |
$89.60 |
| 90723 |
|
12 |
12 |
$76.80 |