| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,766 |
1,622 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,049 |
974 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
622 |
613 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
571 |
542 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
280 |
276 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
331 |
312 |
$33K |
| 92552 |
|
1,155 |
1,134 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,171 |
1,126 |
$15K |
| 90686 |
|
647 |
635 |
$15K |
| 90670 |
|
228 |
225 |
$5K |
| 90698 |
|
197 |
194 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
80 |
$4K |
| 96127 |
|
544 |
530 |
$3K |
| 99173 |
|
1,311 |
1,282 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
195 |
184 |
$2K |
| 0071A |
|
48 |
45 |
$2K |
| 0072A |
|
42 |
39 |
$2K |
| 90651 |
|
48 |
47 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
123 |
47 |
$1K |
| 3008F |
|
194 |
186 |
$729.00 |
| 90734 |
|
26 |
25 |
$582.00 |
| 90680 |
|
24 |
24 |
$535.44 |
| 0002A |
|
13 |
13 |
$520.00 |
| 90687 |
|
14 |
13 |
$279.36 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
41 |
$255.85 |
| 99177 |
|
25 |
25 |
$126.00 |
| 92551 |
|
12 |
12 |
$116.64 |
| 91300 |
|
17 |
14 |
$0.00 |
| 91307 |
|
20 |
20 |
$0.00 |