| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99381 |
|
512 |
471 |
$48K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
428 |
416 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
476 |
444 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,220 |
2,913 |
$30K |
| 90670 |
|
871 |
864 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
648 |
642 |
$5K |
| 90648 |
|
915 |
907 |
$5K |
| 90723 |
|
593 |
590 |
$4K |
| G9920 |
Screening performed and negative |
464 |
448 |
$4K |
| 90680 |
|
488 |
487 |
$4K |
| 96156 |
|
635 |
628 |
$3K |
| 92081 |
|
1,054 |
1,053 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
390 |
390 |
$2K |
| 92551 |
|
1,035 |
1,034 |
$1K |
| 99460 |
|
25 |
25 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
40 |
25 |
$900.36 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
68 |
68 |
$814.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
109 |
91 |
$754.71 |
| 99222 |
Initial hospital care, per day, moderate complexity |
15 |
14 |
$669.91 |
| 85014 |
|
1,224 |
1,219 |
$531.92 |
| 90716 |
|
135 |
135 |
$351.00 |
| 90707 |
|
173 |
173 |
$342.00 |
| 81000 |
|
757 |
756 |
$252.45 |
| 90700 |
|
87 |
86 |
$180.00 |
| 99188 |
|
179 |
175 |
$145.44 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$102.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
39 |
39 |
$74.13 |
| 90686 |
|
111 |
111 |
$54.00 |
| 90713 |
|
29 |
29 |
$54.00 |
| 90633 |
|
70 |
69 |
$36.00 |
| 90658 |
|
71 |
70 |
$36.00 |
| 90715 |
|
24 |
24 |
$27.00 |
| 90657 |
|
15 |
15 |
$9.00 |
| 90734 |
|
12 |
12 |
$9.00 |
| 96151 |
|
53 |
53 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
48 |
41 |
$0.00 |