| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,183 |
2,603 |
$149K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
595 |
497 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,489 |
1,314 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
373 |
311 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
138 |
113 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
380 |
355 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
44 |
$4K |
| 90670 |
|
304 |
257 |
$3K |
| 96127 |
|
92 |
72 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
50 |
$847.80 |
| 90686 |
|
61 |
60 |
$548.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22 |
12 |
$438.20 |
| 90734 |
|
18 |
18 |
$372.90 |
| 36416 |
|
76 |
63 |
$303.40 |
| 83655 |
|
23 |
13 |
$272.78 |
| 81002 |
|
89 |
78 |
$213.20 |
| 90648 |
|
29 |
29 |
$185.60 |
| 90672 |
|
21 |
21 |
$134.40 |
| 85018 |
|
60 |
48 |
$132.24 |
| 90698 |
|
19 |
14 |
$121.60 |
| 90660 |
|
13 |
13 |
$81.25 |
| 90633 |
|
12 |
12 |
$76.80 |