| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,515 |
2,139 |
$109K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
842 |
707 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
689 |
599 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
468 |
406 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
295 |
257 |
$24K |
| 90677 |
|
115 |
107 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
88 |
$8K |
| 90698 |
|
541 |
451 |
$7K |
| 90686 |
|
503 |
426 |
$7K |
| 90670 |
|
461 |
378 |
$6K |
| 96127 |
|
146 |
138 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
142 |
138 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
216 |
198 |
$4K |
| 90680 |
|
208 |
177 |
$3K |
| 90633 |
|
125 |
107 |
$2K |
| 90744 |
|
78 |
65 |
$941.77 |
| 90651 |
|
80 |
74 |
$914.09 |
| 90661 |
|
34 |
34 |
$568.14 |
| 90619 |
|
34 |
34 |
$568.14 |
| 90656 |
|
26 |
24 |
$444.03 |
| 99173 |
|
47 |
29 |
$350.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$344.30 |
| 90710 |
|
17 |
14 |
$284.07 |
| 90715 |
|
15 |
15 |
$250.65 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$193.20 |
| 90734 |
|
21 |
14 |
$134.40 |