| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,335 |
1,077 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
979 |
859 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
257 |
216 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
364 |
322 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,078 |
938 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
422 |
359 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
30 |
$1K |
| 99401 |
|
983 |
804 |
$816.43 |
| H0049 |
Alcohol and/or drug screening |
194 |
133 |
$687.89 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
84 |
50 |
$133.71 |
| 90686 |
|
206 |
185 |
$131.52 |
| 99188 |
|
83 |
70 |
$42.93 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
61 |
$29.76 |
| 90688 |
|
195 |
178 |
$16.82 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
62 |
40 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
150 |
84 |
$0.00 |
| 90619 |
|
18 |
12 |
$0.00 |
| 96127 |
|
27 |
14 |
$0.00 |
| G9920 |
Screening performed and negative |
241 |
147 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
109 |
70 |
$0.00 |
| 96160 |
|
221 |
159 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
27 |
13 |
$0.00 |