| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
404 |
371 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
215 |
207 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
100 |
100 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
103 |
103 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
101 |
100 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
77 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
71 |
$1K |
| 99188 |
|
15 |
15 |
$297.00 |
| 92551 |
|
160 |
160 |
$137.62 |
| 99177 |
|
78 |
78 |
$132.15 |
| 96127 |
|
107 |
107 |
$123.20 |
| 96160 |
|
107 |
107 |
$107.20 |
| 80061 |
Lipid panel |
32 |
32 |
$72.63 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
213 |
213 |
$64.68 |
| 99173 |
|
39 |
39 |
$54.37 |
| 90619 |
|
25 |
25 |
$0.00 |
| 96161 |
|
72 |
72 |
$0.00 |
| 90677 |
|
67 |
67 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
101 |
98 |
$0.00 |
| 90723 |
|
50 |
50 |
$0.00 |
| 90651 |
|
18 |
18 |
$0.00 |
| 90656 |
|
18 |
18 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| 90661 |
|
131 |
131 |
$0.00 |
| G9920 |
Screening performed and negative |
172 |
172 |
$0.00 |
| 90648 |
|
53 |
53 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
15 |
15 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 83655 |
|
15 |
15 |
$0.00 |