| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,975 |
2,857 |
$228K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,692 |
1,691 |
$158K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,142 |
3,076 |
$158K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,403 |
1,397 |
$124K |
| 99051 |
|
2,204 |
2,179 |
$62K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
709 |
707 |
$54K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
364 |
360 |
$5K |
| 90686 |
|
643 |
627 |
$2K |
| 90648 |
|
1,052 |
1,035 |
$2K |
| 90670 |
|
766 |
749 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 90723 |
|
752 |
740 |
$2K |
| 90680 |
|
645 |
633 |
$2K |
| 0071A |
|
28 |
28 |
$1K |
| 0072A |
|
28 |
28 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,586 |
1,582 |
$1K |
| 90633 |
|
297 |
296 |
$781.00 |
| 99177 |
|
649 |
648 |
$562.74 |
| 85018 |
|
748 |
744 |
$388.39 |
| 92551 |
|
436 |
436 |
$95.00 |
| 96127 |
|
105 |
105 |
$30.80 |
| 96160 |
|
105 |
105 |
$26.80 |
| G9920 |
Screening performed and negative |
679 |
678 |
$0.00 |
| 83655 |
|
257 |
257 |
$0.00 |
| 90661 |
|
31 |
31 |
$0.00 |
| 90710 |
|
25 |
25 |
$0.00 |
| 96161 |
|
1,187 |
1,182 |
$0.00 |
| 90677 |
|
289 |
289 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90656 |
|
73 |
73 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |