| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,048 |
2,742 |
$146K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
911 |
857 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
901 |
806 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
757 |
644 |
$55K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
454 |
426 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
299 |
285 |
$21K |
| 96127 |
|
517 |
462 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
139 |
117 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
67 |
$2K |
| 90733 |
|
15 |
15 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
59 |
$2K |
| 90670 |
|
153 |
151 |
$1K |
| 99381 |
|
13 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
43 |
$675.10 |
| 90734 |
|
37 |
28 |
$391.45 |
| 90698 |
|
61 |
61 |
$390.40 |
| 90715 |
|
17 |
17 |
$326.56 |
| 90716 |
|
27 |
27 |
$317.14 |
| 90700 |
|
46 |
40 |
$294.40 |
| 90707 |
|
25 |
25 |
$294.03 |
| 90744 |
|
30 |
30 |
$192.00 |
| 90680 |
|
19 |
19 |
$121.60 |
| 90686 |
|
14 |
14 |
$114.86 |
| 90633 |
|
17 |
17 |
$108.80 |