| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,006 |
10,950 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
644 |
600 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
934 |
894 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,427 |
1,415 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,854 |
1,850 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,020 |
1,890 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,452 |
1,449 |
$4K |
| 92551 |
|
3,720 |
3,715 |
$2K |
| 90651 |
|
258 |
255 |
$1K |
| 90688 |
|
183 |
179 |
$1K |
| 90686 |
|
2,213 |
2,203 |
$1K |
| 90670 |
|
405 |
401 |
$922.50 |
| 90680 |
|
96 |
90 |
$808.24 |
| 90716 |
|
133 |
132 |
$507.00 |
| 90698 |
|
126 |
125 |
$467.91 |
| 96127 |
|
1,693 |
1,580 |
$304.89 |
| 99000 |
|
1,813 |
1,763 |
$218.99 |
| 90620 |
|
13 |
13 |
$167.70 |
| 94760 |
|
1,420 |
1,281 |
$156.25 |
| 81002 |
|
2,298 |
2,269 |
$142.93 |
| 90677 |
|
41 |
41 |
$99.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
424 |
413 |
$75.77 |
| 90707 |
|
26 |
25 |
$54.00 |
| 85018 |
|
112 |
112 |
$36.56 |
| 90734 |
|
100 |
100 |
$36.00 |
| 90700 |
|
71 |
68 |
$36.00 |
| 99173 |
|
3,625 |
3,620 |
$31.83 |
| 90633 |
|
28 |
28 |
$27.00 |
| 90685 |
|
17 |
15 |
$27.00 |
| 90715 |
|
46 |
46 |
$27.00 |
| 86580 |
|
16 |
16 |
$9.99 |
| 90713 |
|
12 |
12 |
$9.00 |
| 90656 |
|
146 |
146 |
$9.00 |
| 83655 |
|
14 |
14 |
$7.66 |
| 96160 |
|
6,110 |
6,085 |
$0.00 |
| 92552 |
|
36 |
36 |
$0.00 |
| 69210 |
|
38 |
36 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
16 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$0.00 |
| 90619 |
|
88 |
86 |
$0.00 |
| 36416 |
|
25 |
24 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
13 |
$0.00 |