| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,175 |
1,088 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
534 |
500 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
327 |
310 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
351 |
327 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
309 |
227 |
$23K |
| 87428 |
|
126 |
117 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
246 |
242 |
$8K |
| 96127 |
|
519 |
475 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
111 |
67 |
$7K |
| 99460 |
|
144 |
138 |
$6K |
| 90677 |
|
73 |
40 |
$6K |
| 90651 |
|
102 |
98 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
272 |
239 |
$4K |
| 90656 |
|
161 |
150 |
$3K |
| 90686 |
|
161 |
155 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
150 |
104 |
$2K |
| 90734 |
|
112 |
108 |
$2K |
| 83655 |
|
97 |
65 |
$1K |
| 90716 |
|
58 |
43 |
$969.18 |
| 90707 |
|
45 |
31 |
$751.95 |
| 90633 |
|
35 |
25 |
$568.14 |
| 90648 |
|
34 |
15 |
$568.14 |
| 90715 |
|
26 |
26 |
$434.46 |
| 90620 |
|
21 |
20 |
$350.91 |
| 91320 |
|
18 |
17 |
$300.78 |
| 85018 |
|
94 |
68 |
$218.08 |
| 99173 |
|
24 |
24 |
$178.80 |