| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,071 |
910 |
$48K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
313 |
247 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
905 |
742 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
170 |
144 |
$12K |
| 90670 |
|
130 |
94 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 90698 |
|
82 |
58 |
$524.80 |
| 90686 |
|
69 |
53 |
$518.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$392.50 |
| 90688 |
|
20 |
18 |
$139.44 |
| 90680 |
|
13 |
12 |
$83.20 |
| 90744 |
|
12 |
12 |
$76.80 |