| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,253 |
2,879 |
$155K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,231 |
1,055 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,013 |
899 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
748 |
585 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
570 |
468 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
563 |
507 |
$41K |
| 96127 |
|
1,609 |
1,276 |
$20K |
| 90686 |
|
738 |
662 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
343 |
315 |
$5K |
| 90670 |
|
333 |
298 |
$3K |
| 83655 |
|
261 |
227 |
$3K |
| 0072A |
|
63 |
60 |
$3K |
| 0071A |
|
60 |
54 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
76 |
$2K |
| 90734 |
|
147 |
126 |
$2K |
| 96160 |
|
109 |
101 |
$2K |
| 90651 |
|
140 |
122 |
$2K |
| 90647 |
|
157 |
150 |
$1K |
| 90723 |
|
121 |
117 |
$1K |
| 90656 |
|
79 |
69 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
16 |
16 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
40 |
$707.51 |
| 90633 |
|
50 |
49 |
$527.58 |
| 90680 |
|
52 |
50 |
$477.14 |
| 90619 |
|
26 |
26 |
$434.46 |
| 85018 |
|
173 |
150 |
$404.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$307.80 |
| 90710 |
|
16 |
14 |
$267.36 |
| 90671 |
|
16 |
12 |
$267.36 |
| 90696 |
|
16 |
14 |
$267.36 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
18 |
$262.80 |
| 90716 |
|
13 |
13 |
$217.23 |
| 90677 |
|
13 |
12 |
$217.23 |
| 90700 |
|
12 |
12 |
$200.52 |
| 90715 |
|
17 |
16 |
$105.60 |
| 81002 |
|
14 |
13 |
$37.70 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
81 |
57 |
$0.00 |
| 90461 |
|
18 |
13 |
$0.00 |