| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,771 |
1,510 |
$95K |
| 90461 |
|
129 |
124 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
230 |
220 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
192 |
186 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
199 |
190 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
925 |
900 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
248 |
232 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
79 |
78 |
$6K |
| 81002 |
|
431 |
422 |
$495.45 |
| H0049 |
Alcohol and/or drug screening |
33 |
33 |
$315.52 |
| 90686 |
|
257 |
247 |
$300.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
35 |
$258.17 |
| 87081 |
|
16 |
16 |
$54.16 |
| 90680 |
|
57 |
56 |
$0.00 |
| 90697 |
|
29 |
24 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
37 |
33 |
$0.00 |
| 90698 |
|
16 |
14 |
$0.00 |
| 90671 |
|
90 |
79 |
$0.00 |
| 90633 |
|
38 |
36 |
$0.00 |
| 90670 |
|
36 |
36 |
$0.00 |