| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,080 |
1,920 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
200 |
200 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
179 |
177 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
92 |
89 |
$5K |
| 99173 |
|
847 |
844 |
$4K |
| 92551 |
|
824 |
821 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
50 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$3K |
| 90688 |
|
116 |
104 |
$737.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$220.29 |
| 96127 |
|
158 |
158 |
$184.80 |
| 87081 |
|
24 |
24 |
$141.82 |
| 83655 |
|
123 |
123 |
$77.01 |
| 85018 |
|
121 |
121 |
$31.96 |
| 96160 |
|
136 |
136 |
$8.62 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
112 |
111 |
$0.00 |
| 90674 |
|
48 |
48 |
$0.00 |