| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,809 |
1,437 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
117 |
112 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
56 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
28 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
99 |
85 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
104 |
90 |
$2K |
| 90686 |
|
170 |
152 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
101 |
29 |
$1K |
| 96127 |
|
78 |
68 |
$1K |
| 85018 |
|
78 |
63 |
$180.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$154.56 |