| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,876 |
11,193 |
$793K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,223 |
4,863 |
$488K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,247 |
2,231 |
$220K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,326 |
1,318 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
999 |
976 |
$90K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,744 |
5,661 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
299 |
292 |
$29K |
| 90686 |
|
2,123 |
2,114 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
406 |
389 |
$16K |
| 96127 |
|
4,399 |
4,292 |
$14K |
| 90688 |
|
606 |
601 |
$8K |
| 90670 |
|
609 |
596 |
$7K |
| 99215 |
Prolong outpt/office vis |
41 |
38 |
$5K |
| 99177 |
|
682 |
678 |
$4K |
| 90723 |
|
219 |
212 |
$2K |
| 90647 |
|
213 |
209 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
141 |
136 |
$2K |
| 90685 |
|
149 |
149 |
$2K |
| 90680 |
|
163 |
156 |
$1K |
| 90633 |
|
63 |
63 |
$999.43 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
24 |
$669.99 |
| 0072A |
|
16 |
16 |
$640.00 |
| 0071A |
|
16 |
15 |
$640.00 |
| 90651 |
|
43 |
42 |
$537.27 |
| 90648 |
|
18 |
17 |
$115.33 |
| 90715 |
|
12 |
12 |
$76.00 |
| 36416 |
|
19 |
18 |
$48.48 |
| 99000 |
|
731 |
709 |
$0.00 |
| 91307 |
|
34 |
32 |
$0.00 |
| 99072 |
|
933 |
891 |
$0.00 |