| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,037 |
3,697 |
$306K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,014 |
3,610 |
$274K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,007 |
2,694 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,309 |
2,931 |
$160K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,903 |
1,700 |
$140K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
725 |
642 |
$57K |
| 99215 |
Prolong outpt/office vis |
390 |
359 |
$31K |
| 90670 |
|
2,802 |
2,510 |
$27K |
| 90647 |
|
2,463 |
2,193 |
$26K |
| 90723 |
|
2,498 |
2,226 |
$26K |
| 83655 |
|
2,070 |
1,932 |
$24K |
| 90633 |
|
1,618 |
1,447 |
$18K |
| 90680 |
|
1,478 |
1,289 |
$15K |
| 90686 |
|
1,147 |
1,078 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
452 |
400 |
$8K |
| 90681 |
|
511 |
466 |
$6K |
| 90671 |
|
300 |
275 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
113 |
108 |
$5K |
| 99460 |
|
86 |
85 |
$5K |
| 85018 |
|
2,151 |
2,003 |
$5K |
| 90716 |
|
381 |
350 |
$5K |
| 99173 |
|
515 |
488 |
$4K |
| 90707 |
|
327 |
291 |
$4K |
| 90700 |
|
324 |
294 |
$4K |
| 90656 |
|
134 |
125 |
$2K |
| 90651 |
|
155 |
135 |
$2K |
| 90734 |
|
171 |
139 |
$2K |
| 90710 |
|
131 |
104 |
$2K |
| 90677 |
|
98 |
75 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
94 |
92 |
$1K |
| 0071A |
|
32 |
29 |
$1K |
| 90696 |
|
124 |
101 |
$1K |
| 90715 |
|
66 |
50 |
$1K |
| 0072A |
|
20 |
20 |
$847.02 |
| 0001A |
|
18 |
14 |
$779.62 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
29 |
$691.72 |
| 0002A |
|
12 |
12 |
$526.78 |
| 99252 |
|
13 |
13 |
$441.35 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
23 |
23 |
$335.80 |
| 90619 |
|
17 |
17 |
$284.07 |
| 36416 |
|
63 |
63 |
$258.30 |
| 96127 |
|
14 |
14 |
$204.40 |
| 81002 |
|
20 |
20 |
$52.26 |