| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,766 |
1,462 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
628 |
535 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
306 |
238 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
306 |
257 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
998 |
792 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
255 |
211 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
145 |
120 |
$4K |
| 90670 |
|
450 |
408 |
$3K |
| 90648 |
|
445 |
389 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
30 |
28 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 90686 |
|
280 |
264 |
$2K |
| 90723 |
|
242 |
220 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90680 |
|
158 |
143 |
$1K |
| 90633 |
|
76 |
56 |
$665.34 |