| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,084 |
934 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
411 |
354 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
142 |
139 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
62 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
59 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
145 |
135 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
130 |
$1K |
| 90670 |
|
87 |
84 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
115 |
53 |
$1K |
| 90648 |
|
35 |
34 |
$432.85 |
| 90723 |
|
28 |
28 |
$361.27 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
16 |
$297.60 |
| 92552 |
|
16 |
14 |
$156.80 |
| 90633 |
|
18 |
17 |
$120.00 |
| 99173 |
|
16 |
14 |
$56.00 |