| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,444 |
2,266 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
901 |
855 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
862 |
850 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
795 |
787 |
$44K |
| 90670 |
|
754 |
747 |
$14K |
| 90648 |
|
740 |
734 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,505 |
1,488 |
$12K |
| 90680 |
|
510 |
506 |
$10K |
| 90723 |
|
510 |
506 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
164 |
164 |
$9K |
| 90633 |
|
360 |
355 |
$7K |
| 83655 |
|
263 |
259 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
264 |
255 |
$4K |
| 99461 |
|
49 |
48 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
143 |
139 |
$3K |
| 90685 |
|
148 |
148 |
$3K |
| 96127 |
|
609 |
603 |
$3K |
| 99173 |
|
674 |
662 |
$3K |
| 90707 |
|
118 |
117 |
$2K |
| 90686 |
|
131 |
130 |
$2K |
| 92551 |
|
531 |
522 |
$2K |
| 90716 |
|
104 |
101 |
$2K |
| 90700 |
|
93 |
91 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$1K |
| 36416 |
|
309 |
305 |
$600.00 |
| 69210 |
|
16 |
12 |
$360.00 |
| 85018 |
|
119 |
115 |
$39.00 |
| 85014 |
|
39 |
38 |
$12.00 |