| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,104 |
1,970 |
$101K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
535 |
447 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
338 |
298 |
$26K |
| 96127 |
|
1,052 |
935 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
239 |
204 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
820 |
723 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
211 |
192 |
$15K |
| 90686 |
|
925 |
833 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
85 |
$8K |
| 90656 |
|
95 |
92 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
128 |
128 |
$1K |
| 85018 |
|
574 |
479 |
$1K |
| 90651 |
|
52 |
26 |
$1K |
| 90670 |
|
44 |
37 |
$823.95 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
26 |
$768.42 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$484.80 |
| 90677 |
|
28 |
27 |
$467.88 |
| 90698 |
|
41 |
36 |
$454.68 |
| 90633 |
|
46 |
39 |
$442.10 |
| 80061 |
Lipid panel |
44 |
31 |
$327.98 |
| 90647 |
|
14 |
14 |
$233.94 |
| 83655 |
|
17 |
13 |
$201.62 |
| 90723 |
|
12 |
12 |
$200.52 |
| 82947 |
|
14 |
14 |
$47.12 |