| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
306 |
290 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
78 |
73 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
63 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
53 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
167 |
163 |
$2K |
| 99188 |
|
68 |
67 |
$1K |
| 92551 |
|
106 |
104 |
$1K |
| 90686 |
|
85 |
85 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 96127 |
|
132 |
121 |
$962.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
23 |
$611.10 |
| 96160 |
|
175 |
171 |
$582.46 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
24 |
$417.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
16 |
$247.35 |
| 85018 |
|
84 |
81 |
$223.00 |
| 99173 |
|
90 |
90 |
$220.15 |
| 83655 |
|
14 |
12 |
$161.37 |
| 90670 |
|
13 |
12 |
$137.50 |
| 36416 |
|
68 |
67 |
$18.70 |