| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,080 |
942 |
$40K |
| 96160 |
|
1,621 |
1,163 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
699 |
619 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
501 |
446 |
$11K |
| 96127 |
|
2,195 |
1,510 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
53 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
55 |
$4K |
| 96161 |
|
263 |
209 |
$3K |
| 92551 |
|
365 |
314 |
$2K |
| 99173 |
|
349 |
299 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$926.83 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
14 |
$914.89 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
15 |
$820.18 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$162.20 |
| 36415 |
Collection of venous blood by venipuncture |
51 |
49 |
$119.20 |
| 99000 |
|
218 |
189 |
$0.00 |
| 36416 |
|
20 |
13 |
$0.00 |