| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,303 |
1,823 |
$187K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
778 |
604 |
$75K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
390 |
361 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
156 |
128 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
103 |
$12K |
| 97802 |
|
701 |
545 |
$7K |
| 90698 |
|
273 |
263 |
$6K |
| 96160 |
|
1,330 |
1,034 |
$3K |
| 90688 |
|
114 |
107 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
260 |
223 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
104 |
97 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
71 |
$2K |
| 90670 |
|
89 |
81 |
$2K |
| 96127 |
|
422 |
357 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
13 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
73 |
$1K |
| 90687 |
|
42 |
38 |
$819.77 |
| 90677 |
|
33 |
27 |
$760.44 |
| 90716 |
|
25 |
25 |
$582.00 |
| 90707 |
|
25 |
25 |
$582.00 |
| 90744 |
|
25 |
25 |
$560.44 |
| 99401 |
|
70 |
59 |
$500.00 |
| 90633 |
|
12 |
12 |
$279.36 |
| 99173 |
|
70 |
65 |
$174.98 |
| 96161 |
|
36 |
29 |
$78.68 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
13 |
$0.00 |
| G9920 |
Screening performed and negative |
99 |
96 |
$0.00 |