| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,322 |
6,805 |
$379K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,267 |
5,377 |
$263K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,692 |
1,615 |
$89K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
907 |
901 |
$53K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
756 |
604 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
38 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
27 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
89 |
81 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
123 |
121 |
$940.82 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$727.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
24 |
$269.14 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$152.52 |
| 96161 |
|
13 |
13 |
$46.63 |
| 96127 |
|
12 |
12 |
$45.87 |