| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,198 |
3,897 |
$230K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,017 |
4,147 |
$183K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
409 |
406 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
321 |
311 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
213 |
209 |
$21K |
| 92551 |
|
1,477 |
1,450 |
$13K |
| 99173 |
|
1,542 |
1,509 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
77 |
75 |
$7K |
| 90686 |
|
508 |
497 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
43 |
$3K |
| 96161 |
|
512 |
503 |
$2K |
| 96127 |
|
431 |
420 |
$2K |
| 99307 |
|
559 |
549 |
$2K |
| 0124A |
|
57 |
47 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
78 |
77 |
$2K |
| 0071A |
|
30 |
30 |
$1K |
| 0072A |
|
27 |
27 |
$1K |
| 90651 |
|
118 |
117 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
122 |
118 |
$749.70 |
| 96160 |
|
165 |
165 |
$642.66 |
| 90620 |
|
59 |
55 |
$626.18 |
| 90619 |
|
38 |
38 |
$600.00 |
| 3074F |
|
42 |
39 |
$513.75 |
| 99188 |
|
12 |
12 |
$245.70 |
| 3079F |
|
14 |
12 |
$230.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$195.76 |
| 90633 |
|
17 |
17 |
$183.50 |
| 90670 |
|
12 |
12 |
$128.00 |
| 90734 |
|
34 |
32 |
$103.50 |
| 85018 |
|
89 |
84 |
$0.00 |
| 85013 |
|
18 |
13 |
$0.00 |
| 3288F |
|
20 |
20 |
$0.00 |
| 0518F |
|
20 |
20 |
$0.00 |