| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,590 |
1,533 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,775 |
1,719 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
800 |
790 |
$75K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
695 |
684 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
361 |
357 |
$33K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
271 |
271 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
68 |
$1K |
| 90686 |
|
281 |
280 |
$693.00 |
| 92551 |
|
913 |
904 |
$591.64 |
| 87428 |
|
20 |
20 |
$476.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
18 |
$437.50 |
| 96127 |
|
573 |
570 |
$423.62 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
505 |
504 |
$360.29 |
| 99177 |
|
161 |
161 |
$348.66 |
| 96160 |
|
502 |
501 |
$228.95 |
| 90670 |
|
108 |
108 |
$176.00 |
| 90648 |
|
160 |
158 |
$168.00 |
| 99173 |
|
291 |
282 |
$157.60 |
| 90633 |
|
39 |
39 |
$143.00 |
| 96161 |
|
115 |
113 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
208 |
207 |
$0.00 |
| 90723 |
|
29 |
29 |
$0.00 |
| 90677 |
|
52 |
51 |
$0.00 |
| 85018 |
|
27 |
25 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| G9920 |
Screening performed and negative |
478 |
477 |
$0.00 |
| 90661 |
|
91 |
91 |
$0.00 |
| 83655 |
|
31 |
29 |
$0.00 |