| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,007 |
5,238 |
$455K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,108 |
6,127 |
$346K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,483 |
1,271 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,490 |
1,227 |
$111K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,040 |
871 |
$79K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,882 |
4,495 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
491 |
421 |
$34K |
| 90670 |
|
479 |
425 |
$7K |
| 90651 |
|
285 |
229 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
375 |
359 |
$6K |
| 90686 |
|
611 |
526 |
$6K |
| 95930 |
|
69 |
46 |
$4K |
| 90648 |
|
472 |
407 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
81 |
$3K |
| 90619 |
|
90 |
86 |
$1K |
| 90734 |
|
120 |
97 |
$1K |
| 90633 |
|
115 |
99 |
$1K |
| 99173 |
|
161 |
141 |
$1K |
| 90677 |
|
59 |
58 |
$969.18 |
| 90723 |
|
123 |
107 |
$774.40 |
| 90697 |
|
16 |
16 |
$267.36 |
| 96127 |
|
14 |
14 |
$204.40 |
| 90700 |
|
28 |
28 |
$179.20 |
| 90681 |
|
14 |
14 |
$89.60 |