| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
265 |
$287.98 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
73 |
$273.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
195 |
193 |
$247.98 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
322 |
321 |
$155.82 |
| 90648 |
|
56 |
55 |
$89.89 |
| 92551 |
|
169 |
169 |
$89.40 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
93 |
93 |
$85.97 |
| 99401 |
|
327 |
326 |
$38.82 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
93 |
93 |
$37.39 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
324 |
323 |
$20.00 |
| 90734 |
|
12 |
12 |
$4.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
48 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$0.00 |
| 90700 |
|
84 |
83 |
$0.00 |
| 90670 |
|
57 |
56 |
$0.00 |
| 90713 |
|
65 |
64 |
$0.00 |
| 90707 |
|
17 |
17 |
$0.00 |
| 90633 |
|
17 |
17 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
68 |
68 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
320 |
319 |
$0.00 |
| 94760 |
|
325 |
323 |
$0.00 |
| 97802 |
|
332 |
329 |
$0.00 |
| 96156 |
|
258 |
257 |
$0.00 |
| 85018 |
|
51 |
51 |
$0.00 |
| 81000 |
|
14 |
13 |
$0.00 |
| 90744 |
|
13 |
12 |
$0.00 |
| 90716 |
|
17 |
17 |
$0.00 |