| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,513 |
1,935 |
$112K |
| 96127 |
|
4,478 |
3,593 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
760 |
634 |
$61K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,320 |
2,618 |
$54K |
| 99383 |
|
713 |
592 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
618 |
499 |
$36K |
| 99384 |
|
323 |
283 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
314 |
255 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
580 |
463 |
$15K |
| 90619 |
|
470 |
380 |
$8K |
| 85018 |
|
2,713 |
2,186 |
$6K |
| 90715 |
|
515 |
404 |
$6K |
| 81002 |
|
1,776 |
1,427 |
$5K |
| 90734 |
|
555 |
426 |
$4K |
| 90688 |
|
354 |
301 |
$4K |
| 99173 |
|
428 |
362 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
229 |
180 |
$3K |
| 90651 |
|
117 |
88 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
120 |
95 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
67 |
53 |
$995.85 |
| 90649 |
|
122 |
97 |
$761.60 |
| 90633 |
|
47 |
40 |
$615.92 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
17 |
12 |
$571.20 |
| 90710 |
|
32 |
25 |
$534.72 |
| 36416 |
|
88 |
75 |
$299.30 |
| 90713 |
|
19 |
17 |
$285.00 |