| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,266 |
2,148 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,337 |
1,295 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
571 |
567 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
480 |
478 |
$44K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
442 |
442 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
293 |
280 |
$26K |
| 92551 |
|
1,567 |
1,562 |
$6K |
| 99177 |
|
1,204 |
1,203 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
125 |
122 |
$2K |
| 90686 |
|
290 |
278 |
$990.00 |
| 99173 |
|
134 |
134 |
$975.00 |
| 90670 |
|
82 |
78 |
$396.00 |
| 96127 |
|
638 |
635 |
$279.84 |
| 96160 |
|
640 |
637 |
$243.50 |
| 90648 |
|
44 |
39 |
$237.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
72 |
71 |
$126.24 |
| 80061 |
Lipid panel |
29 |
29 |
$96.21 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
245 |
240 |
$0.00 |
| 96161 |
|
63 |
62 |
$0.00 |
| 90656 |
|
73 |
72 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| G9920 |
Screening performed and negative |
410 |
408 |
$0.00 |