| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,790 |
1,749 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,284 |
2,229 |
$105K |
| T1015 |
Clinic visit/encounter, all-inclusive |
390 |
385 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
567 |
566 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
349 |
348 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
337 |
336 |
$27K |
| 99215 |
Prolong outpt/office vis |
118 |
114 |
$12K |
| 99051 |
|
230 |
229 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
76 |
75 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
217 |
214 |
$3K |
| 90686 |
|
291 |
280 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$532.78 |
| 92551 |
|
670 |
669 |
$439.48 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
27 |
27 |
$366.70 |
| 96127 |
|
536 |
536 |
$203.28 |
| 99177 |
|
213 |
213 |
$174.15 |
| 96160 |
|
537 |
537 |
$173.07 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
46 |
$100.00 |
| 90661 |
|
55 |
55 |
$0.00 |
| G9920 |
Screening performed and negative |
293 |
292 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
246 |
246 |
$0.00 |
| 3008F |
|
134 |
134 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |