| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
853 |
670 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
596 |
474 |
$46K |
| 99215 |
Prolong outpt/office vis |
172 |
127 |
$25K |
| 90686 |
|
212 |
204 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
39 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
280 |
265 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
109 |
99 |
$1K |
| 81002 |
|
29 |
28 |
$77.56 |
| 96127 |
|
12 |
12 |
$56.52 |
| 96160 |
|
12 |
12 |
$33.24 |