| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,173 |
1,077 |
$59K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
286 |
267 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
169 |
158 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
149 |
118 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
95 |
87 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
333 |
308 |
$5K |
| 99173 |
|
297 |
266 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
121 |
115 |
$2K |
| 92558 |
|
142 |
131 |
$2K |
| 90671 |
|
67 |
55 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
60 |
59 |
$1K |
| 96127 |
|
58 |
54 |
$1K |
| 90686 |
|
30 |
27 |
$501.30 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
16 |
$394.20 |
| 90697 |
|
15 |
12 |
$250.65 |
| 81002 |
|
44 |
30 |
$111.89 |