| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
528 |
502 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
112 |
112 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
70 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
27 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
195 |
194 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 90670 |
|
58 |
57 |
$1K |
| 90716 |
|
55 |
55 |
$1K |
| 90707 |
|
54 |
54 |
$839.08 |
| 85018 |
|
209 |
207 |
$585.05 |
| 99173 |
|
181 |
179 |
$475.08 |
| 90698 |
|
24 |
24 |
$435.40 |
| 81003 |
|
129 |
127 |
$342.42 |
| 36416 |
|
210 |
208 |
$223.30 |
| 90686 |
|
17 |
17 |
$194.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$183.96 |
| 90680 |
|
15 |
14 |
$162.80 |
| 90723 |
|
13 |
13 |
$154.00 |
| 94760 |
|
55 |
54 |
$0.00 |