| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,054 |
1,029 |
$57K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,590 |
1,559 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
378 |
376 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
305 |
303 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
251 |
249 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
177 |
176 |
$13K |
| 99051 |
|
64 |
64 |
$2K |
| 92551 |
|
908 |
904 |
$1K |
| 94760 |
|
259 |
255 |
$636.72 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
68 |
$468.05 |
| 96127 |
|
258 |
239 |
$462.65 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$390.60 |
| 90686 |
|
221 |
217 |
$385.00 |
| 99173 |
|
848 |
845 |
$378.83 |
| 96160 |
|
235 |
231 |
$239.90 |
| 90656 |
|
38 |
38 |
$157.93 |
| 90670 |
|
50 |
50 |
$132.00 |
| 96161 |
|
115 |
115 |
$62.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
71 |
71 |
$57.75 |
| 83655 |
|
29 |
29 |
$17.22 |
| 85018 |
|
24 |
24 |
$3.55 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
192 |
191 |
$0.00 |
| 90677 |
|
14 |
14 |
$0.00 |
| G9920 |
Screening performed and negative |
306 |
305 |
$0.00 |
| 90710 |
|
13 |
12 |
$0.00 |
| 99499 |
|
13 |
13 |
$0.00 |