| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,362 |
1,245 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
374 |
374 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
301 |
301 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
224 |
224 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
163 |
157 |
$14K |
| 92551 |
|
502 |
502 |
$5K |
| 90686 |
|
392 |
391 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$3K |
| 99188 |
|
164 |
161 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
319 |
201 |
$3K |
| 90670 |
|
220 |
220 |
$3K |
| 90651 |
|
153 |
153 |
$2K |
| 90647 |
|
135 |
135 |
$2K |
| 90723 |
|
113 |
113 |
$1K |
| 99173 |
|
484 |
483 |
$1K |
| 90680 |
|
99 |
99 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
77 |
$1K |
| 90633 |
|
77 |
77 |
$968.85 |
| 85018 |
|
328 |
328 |
$944.34 |
| 88738 |
|
136 |
136 |
$783.68 |
| 90734 |
|
63 |
63 |
$736.67 |
| 90715 |
|
55 |
55 |
$656.04 |
| 96127 |
|
125 |
123 |
$647.25 |
| 90685 |
|
51 |
51 |
$596.16 |
| 82465 |
|
96 |
96 |
$485.76 |
| 96161 |
|
145 |
129 |
$427.82 |
| 90696 |
|
12 |
12 |
$138.05 |
| 36416 |
|
198 |
197 |
$23.96 |
| 94760 |
|
28 |
26 |
$0.00 |