| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
291 |
250 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
351 |
313 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
57 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$4K |
| 92552 |
|
114 |
114 |
$3K |
| 94760 |
|
793 |
673 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
44 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
180 |
60 |
$2K |
| 90686 |
|
69 |
69 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
87 |
87 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
145 |
145 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
72 |
$985.50 |
| 96127 |
|
59 |
59 |
$494.55 |
| 99177 |
|
70 |
70 |
$377.39 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
35 |
34 |
$330.00 |
| 2015F |
|
14 |
14 |
$280.00 |
| 90698 |
|
12 |
12 |
$279.36 |
| 90670 |
|
12 |
12 |
$279.36 |
| 81002 |
|
92 |
91 |
$252.32 |
| 83655 |
|
12 |
12 |
$142.68 |
| 96160 |
|
26 |
26 |
$78.47 |
| 99173 |
|
19 |
19 |
$46.80 |
| 36416 |
|
132 |
108 |
$0.00 |