| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
352 |
330 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
110 |
108 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
95 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
45 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
149 |
140 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
226 |
218 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$2K |
| 90686 |
|
89 |
89 |
$1K |
| 96127 |
|
113 |
112 |
$790.86 |
| 99188 |
|
37 |
37 |
$748.73 |
| 96160 |
|
212 |
204 |
$737.26 |
| 83655 |
|
40 |
38 |
$557.46 |
| 90670 |
|
27 |
27 |
$473.69 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
27 |
$471.42 |
| 90648 |
|
40 |
40 |
$465.93 |
| 85018 |
|
158 |
156 |
$440.64 |
| 92551 |
|
38 |
38 |
$406.75 |
| 81003 |
|
133 |
129 |
$357.63 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
13 |
$305.55 |
| 99173 |
|
118 |
118 |
$297.85 |
| 36416 |
|
161 |
158 |
$40.46 |