| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,988 |
4,399 |
$279K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,057 |
1,960 |
$173K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
776 |
775 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
787 |
724 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
678 |
674 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
291 |
291 |
$24K |
| 99215 |
Prolong outpt/office vis |
46 |
43 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
102 |
$2K |
| 96127 |
|
429 |
428 |
$2K |
| 96161 |
|
583 |
492 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
90 |
88 |
$1K |
| G9007 |
Coordinated care fee, scheduled team conference |
135 |
117 |
$905.53 |
| S9451 |
Exercise classes, non-physician provider, per session |
2,276 |
2,271 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
364 |
364 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
2,278 |
2,273 |
$0.00 |