| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,589 |
1,441 |
$35K |
| 92551 |
|
732 |
726 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
84 |
84 |
$5K |
| 96156 |
|
247 |
247 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
83 |
82 |
$5K |
| 90686 |
|
271 |
271 |
$2K |
| 81000 |
|
638 |
634 |
$1K |
| 85018 |
|
632 |
623 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
48 |
42 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
52 |
$926.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
48 |
$614.14 |
| 96150 |
|
13 |
13 |
$297.15 |
| 92499 |
|
28 |
28 |
$190.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$181.74 |
| 90649 |
|
15 |
15 |
$135.00 |
| 90700 |
|
13 |
13 |
$0.00 |