| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,497 |
1,303 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
599 |
498 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
297 |
260 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
158 |
149 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
95 |
78 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
93 |
82 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
26 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
31 |
31 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
98 |
94 |
$2K |
| 99381 |
|
17 |
15 |
$2K |
| 90686 |
|
169 |
152 |
$1K |
| 90670 |
|
101 |
98 |
$651.19 |
| 90633 |
|
68 |
63 |
$428.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$392.50 |
| 90647 |
|
56 |
48 |
$358.40 |
| 90651 |
|
20 |
12 |
$301.00 |
| 85018 |
|
81 |
68 |
$185.60 |
| 90723 |
|
26 |
25 |
$166.40 |
| 90680 |
|
12 |
12 |
$76.80 |