| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
2,009 |
1,916 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,901 |
1,964 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,671 |
1,889 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
935 |
741 |
$48K |
| G9920 |
Screening performed and negative |
1,134 |
1,090 |
$23K |
| 92551 |
|
1,283 |
1,249 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
253 |
180 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
252 |
229 |
$14K |
| 96151 |
|
497 |
494 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
93 |
$8K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
143 |
137 |
$7K |
| 90700 |
|
775 |
767 |
$7K |
| 90713 |
|
632 |
622 |
$6K |
| 97803 |
|
298 |
295 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
63 |
$5K |
| 90647 |
|
536 |
526 |
$5K |
| 90670 |
|
515 |
507 |
$5K |
| 90658 |
|
337 |
319 |
$4K |
| 99215 |
Prolong outpt/office vis |
51 |
38 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
36 |
$4K |
| 81000 |
|
1,280 |
1,237 |
$3K |
| 85018 |
|
1,602 |
1,557 |
$3K |
| 90680 |
|
332 |
326 |
$3K |
| 96150 |
|
118 |
117 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
148 |
141 |
$2K |
| 92652 |
|
12 |
12 |
$2K |
| 90744 |
|
156 |
155 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
78 |
65 |
$642.38 |
| 90657 |
|
53 |
53 |
$424.48 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$346.73 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$148.00 |
| 90633 |
|
12 |
12 |
$108.00 |
| 90649 |
|
13 |
13 |
$108.00 |
| 90655 |
|
12 |
12 |
$108.00 |
| 81002 |
|
35 |
35 |
$70.25 |
| 99173 |
|
1,132 |
1,099 |
$30.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
14 |
$0.00 |