| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,639 |
2,299 |
$128K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,476 |
1,280 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,412 |
1,231 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,476 |
1,216 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
885 |
764 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
402 |
329 |
$32K |
| 99215 |
Prolong outpt/office vis |
483 |
384 |
$30K |
| 96127 |
|
685 |
474 |
$11K |
| 90670 |
|
1,052 |
882 |
$10K |
| 90686 |
|
689 |
596 |
$7K |
| 83655 |
|
542 |
495 |
$6K |
| 90723 |
|
551 |
457 |
$5K |
| 90647 |
|
521 |
462 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
97 |
76 |
$2K |
| 90680 |
|
184 |
170 |
$2K |
| 90633 |
|
222 |
200 |
$2K |
| 85018 |
|
652 |
576 |
$1K |
| 99173 |
|
128 |
119 |
$936.95 |
| 90651 |
|
53 |
40 |
$700.96 |
| 90734 |
|
59 |
54 |
$681.74 |
| 90671 |
|
41 |
37 |
$666.01 |
| 90656 |
|
38 |
34 |
$634.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
31 |
$536.96 |
| 90696 |
|
38 |
26 |
$460.92 |
| 90710 |
|
38 |
26 |
$460.92 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
25 |
23 |
$335.80 |
| 90715 |
|
31 |
27 |
$231.95 |
| 90681 |
|
13 |
12 |
$217.23 |
| 36416 |
|
33 |
31 |
$131.20 |