| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,593 |
1,081 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,376 |
1,720 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
289 |
194 |
$12K |
| 87428 |
|
146 |
60 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
66 |
$4K |
| 87430 |
|
87 |
50 |
$543.41 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
238 |
215 |
$457.95 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
27 |
$296.01 |