| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,861 |
1,695 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
374 |
340 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
201 |
201 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
198 |
198 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
164 |
163 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
51 |
$5K |
| 90686 |
|
237 |
236 |
$3K |
| 87428 |
|
25 |
25 |
$694.32 |
| 90672 |
|
52 |
52 |
$575.20 |
| 90734 |
|
49 |
49 |
$539.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
57 |
$480.69 |
| 99173 |
|
376 |
375 |
$378.92 |
| 90651 |
|
31 |
31 |
$341.00 |
| 90670 |
|
28 |
28 |
$308.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
101 |
101 |
$300.50 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
16 |
$229.50 |
| 92551 |
|
306 |
305 |
$214.99 |
| 96161 |
|
48 |
44 |
$164.69 |
| 90660 |
|
13 |
13 |
$163.00 |
| 90715 |
|
12 |
12 |
$132.00 |
| 96127 |
|
310 |
310 |
$0.60 |
| 96160 |
|
312 |
312 |
$0.02 |
| 3008F |
|
1,037 |
1,030 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
36 |
36 |
$0.00 |