| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,876 |
4,704 |
$417K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
454 |
350 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
378 |
278 |
$29K |
| 96127 |
|
899 |
690 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
55 |
$6K |
| 90686 |
|
508 |
400 |
$6K |
| 90670 |
|
163 |
135 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
205 |
151 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
29 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
154 |
112 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
30 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
118 |
109 |
$2K |
| 0072A |
|
18 |
13 |
$758.52 |
| 0002A |
|
15 |
12 |
$603.71 |
| 90723 |
|
66 |
53 |
$556.43 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
36 |
35 |
$525.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
32 |
$485.15 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$380.55 |
| 90647 |
|
56 |
42 |
$358.40 |
| 90656 |
|
19 |
19 |
$321.42 |
| 90680 |
|
33 |
25 |
$211.20 |