| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,432 |
707 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
244 |
139 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
187 |
115 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
35 |
$1K |
| 92551 |
|
752 |
392 |
$1K |
| 96127 |
|
892 |
333 |
$879.96 |
| 96160 |
|
1,125 |
503 |
$702.14 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
334 |
160 |
$532.37 |
| 99173 |
|
725 |
390 |
$385.86 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$82.08 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$16.23 |
| 36416 |
|
24 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
41 |
$0.00 |