| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,695 |
2,001 |
$204K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,015 |
2,512 |
$148K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
491 |
373 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
396 |
312 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
415 |
312 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
277 |
211 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
498 |
393 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
33 |
$2K |
| 96127 |
|
149 |
102 |
$2K |
| 90686 |
|
227 |
198 |
$2K |
| 83655 |
|
106 |
85 |
$1K |
| 90670 |
|
129 |
94 |
$1K |
| 90647 |
|
82 |
53 |
$976.77 |
| 99173 |
|
114 |
106 |
$808.18 |
| 90734 |
|
57 |
34 |
$674.07 |
| 90723 |
|
80 |
52 |
$658.84 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
35 |
31 |
$496.40 |
| 85018 |
|
206 |
175 |
$476.76 |
| 90651 |
|
40 |
25 |
$466.65 |
| 90680 |
|
25 |
15 |
$309.56 |
| 90656 |
|
18 |
18 |
$287.71 |
| 90671 |
|
14 |
13 |
$233.94 |
| 90633 |
|
16 |
12 |
$191.16 |
| 90696 |
|
16 |
12 |
$105.28 |
| 90710 |
|
16 |
12 |
$105.28 |
| 81002 |
|
19 |
12 |
$49.40 |