| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,171 |
1,124 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
877 |
838 |
$42K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
168 |
168 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
112 |
111 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
95 |
95 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
154 |
150 |
$2K |
| 99051 |
|
44 |
43 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 96127 |
|
37 |
37 |
$49.28 |
| 96160 |
|
37 |
37 |
$42.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$40.00 |
| 99177 |
|
13 |
13 |
$26.43 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
38 |
38 |
$0.00 |
| 92551 |
|
24 |
24 |
$0.00 |
| 90686 |
|
110 |
110 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 96161 |
|
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
242 |
242 |
$0.00 |
| 90661 |
|
15 |
15 |
$0.00 |
| 90648 |
|
13 |
13 |
$0.00 |