| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,958 |
2,575 |
$214K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
376 |
295 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
256 |
207 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
205 |
185 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
143 |
120 |
$12K |
| 90686 |
|
370 |
331 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
132 |
$2K |
| 90670 |
|
173 |
152 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
55 |
51 |
$884.25 |
| 90651 |
|
34 |
32 |
$702.86 |
| 90707 |
|
42 |
27 |
$652.02 |
| 90716 |
|
42 |
27 |
$652.02 |
| 90723 |
|
42 |
38 |
$549.07 |
| 90734 |
|
45 |
41 |
$536.80 |
| 83655 |
|
34 |
27 |
$403.74 |
| 90648 |
|
40 |
24 |
$366.88 |
| 90619 |
|
16 |
16 |
$267.36 |
| 90633 |
|
27 |
26 |
$252.88 |
| 96127 |
|
17 |
12 |
$205.00 |
| 90715 |
|
13 |
13 |
$83.20 |