| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
534 |
494 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
88 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
39 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
31 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
47 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 96127 |
|
125 |
120 |
$612.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
61 |
58 |
$493.88 |
| 99173 |
|
170 |
168 |
$432.53 |
| 85018 |
|
146 |
144 |
$403.64 |
| 81002 |
|
116 |
115 |
$356.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$229.35 |
| 90688 |
|
16 |
16 |
$198.18 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
38 |
$126.00 |