| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,226 |
1,871 |
$243K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,971 |
2,500 |
$233K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
550 |
521 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
426 |
415 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
185 |
174 |
$17K |
| 90686 |
|
659 |
598 |
$14K |
| 96160 |
|
2,041 |
1,905 |
$5K |
| 96158 |
|
97 |
56 |
$2K |
| 90698 |
|
110 |
104 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
133 |
112 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
160 |
127 |
$1K |
| 90656 |
|
56 |
55 |
$1K |
| 90670 |
|
58 |
55 |
$1K |
| 96159 |
|
95 |
55 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
95 |
46 |
$1K |
| 96127 |
|
128 |
78 |
$565.20 |
| 87428 |
|
19 |
15 |
$541.45 |
| 90633 |
|
13 |
13 |
$279.36 |
| 83655 |
|
15 |
14 |
$150.37 |
| 96161 |
|
40 |
37 |
$108.03 |
| 99051 |
|
13 |
12 |
$71.30 |
| 3008F |
|
537 |
517 |
$45.00 |
| 85018 |
|
15 |
14 |
$29.48 |
| 36416 |
|
140 |
110 |
$0.00 |
| 99000 |
|
290 |
243 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32 |
30 |
$0.00 |
| 99072 |
|
252 |
214 |
$0.00 |
| 4131F |
|
169 |
145 |
$0.00 |