| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,158 |
867 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
115 |
105 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
103 |
97 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
30 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20 |
17 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$1K |
| 99173 |
|
118 |
112 |
$879.10 |
| 96127 |
|
57 |
52 |
$832.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
35 |
28 |
$803.93 |
| 36416 |
|
180 |
167 |
$725.70 |
| 90656 |
|
37 |
32 |
$618.27 |
| 85018 |
|
190 |
167 |
$440.80 |
| 90619 |
|
18 |
17 |
$300.78 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$235.50 |