| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
872 |
840 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
76 |
76 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
97 |
97 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
78 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
37 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
124 |
124 |
$357.66 |
| 90686 |
|
29 |
25 |
$143.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$140.70 |
| 92551 |
|
39 |
39 |
$61.60 |
| 99173 |
|
57 |
57 |
$52.80 |
| 96127 |
|
17 |
17 |
$36.30 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
23 |
22 |
$20.64 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
29 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |