| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,917 |
4,376 |
$39K |
| 90697 |
|
380 |
379 |
$16K |
| 92551 |
|
1,432 |
1,431 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
518 |
517 |
$13K |
| G9920 |
Screening performed and negative |
2,491 |
2,491 |
$9K |
| 90671 |
|
394 |
394 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
910 |
875 |
$6K |
| 99383 |
|
302 |
302 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
595 |
594 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
543 |
543 |
$3K |
| 99382 |
|
113 |
113 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
307 |
307 |
$2K |
| 99381 |
|
28 |
28 |
$1K |
| 99384 |
|
85 |
85 |
$891.36 |
| 90670 |
|
50 |
50 |
$855.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
129 |
127 |
$528.65 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$524.95 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
122 |
$416.50 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
35 |
$271.37 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
385 |
385 |
$258.20 |
| 90685 |
|
42 |
42 |
$252.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
15 |
$245.50 |
| 83655 |
|
210 |
209 |
$199.88 |
| 90680 |
|
42 |
42 |
$189.00 |
| 90648 |
|
15 |
15 |
$81.00 |
| 90723 |
|
12 |
12 |
$63.00 |
| 90707 |
|
32 |
32 |
$62.82 |
| 90633 |
|
97 |
97 |
$62.82 |
| G9919 |
Screening performed and positive and provision of recommendations |
12 |
12 |
$57.71 |
| 90716 |
|
57 |
57 |
$53.91 |
| 85018 |
|
221 |
220 |
$34.85 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
72 |
$20.76 |
| 90714 |
|
12 |
12 |
$9.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
19 |
$8.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
142 |
141 |
$0.00 |
| 1036F |
|
413 |
413 |
$0.00 |
| 81000 |
|
15 |
15 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
148 |
148 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |