| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,411 |
2,014 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
72 |
59 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
665 |
597 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
16 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
14 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
14 |
$2K |
| 92552 |
|
45 |
34 |
$864.87 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
79 |
$775.92 |
| 90688 |
|
29 |
26 |
$535.44 |
| 96127 |
|
27 |
27 |
$226.55 |
| 99173 |
|
68 |
53 |
$106.86 |