| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,791 |
6,666 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,367 |
4,658 |
$44K |
| 99460 |
|
1,303 |
1,293 |
$16K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,424 |
1,404 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
379 |
346 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,695 |
1,643 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,385 |
1,334 |
$10K |
| G9920 |
Screening performed and negative |
2,329 |
2,264 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
942 |
918 |
$6K |
| 99462 |
|
1,066 |
805 |
$6K |
| 92552 |
|
3,858 |
3,767 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
969 |
936 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
731 |
674 |
$2K |
| 85018 |
|
5,948 |
5,680 |
$963.45 |
| 99188 |
|
980 |
935 |
$885.62 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$854.58 |
| 90658 |
|
1,442 |
1,431 |
$772.65 |
| 81002 |
|
3,780 |
3,630 |
$543.48 |
| 90670 |
|
394 |
361 |
$538.50 |
| 99215 |
Prolong outpt/office vis |
69 |
66 |
$413.37 |
| 90698 |
|
151 |
136 |
$361.50 |
| 90744 |
|
101 |
90 |
$168.00 |
| 96127 |
|
314 |
313 |
$133.78 |
| 99173 |
|
2,945 |
2,851 |
$98.65 |
| 90677 |
|
30 |
26 |
$81.00 |
| 90681 |
|
25 |
24 |
$75.00 |
| 90734 |
|
119 |
116 |
$60.75 |
| 90649 |
|
97 |
97 |
$42.75 |
| 90657 |
|
204 |
197 |
$36.00 |
| 90633 |
|
72 |
67 |
$27.00 |
| 90672 |
|
178 |
178 |
$27.00 |
| 90715 |
|
30 |
30 |
$24.75 |
| 90696 |
|
16 |
13 |
$24.00 |
| 90710 |
|
28 |
25 |
$24.00 |
| 86580 |
|
75 |
64 |
$6.66 |
| 96161 |
|
311 |
308 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
92 |
92 |
$0.00 |
| 90620 |
|
36 |
26 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
42 |
$0.00 |
| 83655 |
|
63 |
59 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
44 |
30 |
$0.00 |