| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,359 |
2,098 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
861 |
798 |
$104K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
122 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
978 |
941 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
104 |
104 |
$11K |
| 92552 |
|
431 |
430 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
69 |
64 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
804 |
350 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
56 |
$6K |
| 94760 |
|
2,071 |
1,802 |
$5K |
| 90686 |
|
188 |
188 |
$4K |
| 92551 |
|
348 |
347 |
$3K |
| 99177 |
|
515 |
514 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
31 |
$2K |
| 96127 |
|
175 |
174 |
$1K |
| 81002 |
|
355 |
351 |
$953.24 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
83 |
82 |
$948.02 |
| 99173 |
|
265 |
265 |
$668.20 |
| 87807 |
|
54 |
51 |
$583.19 |
| 90656 |
|
25 |
25 |
$582.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
47 |
47 |
$470.00 |
| 90698 |
|
12 |
12 |
$279.36 |
| 90734 |
|
12 |
12 |
$256.08 |
| W7000 |
|
12 |
12 |
$56.54 |
| 96160 |
|
16 |
16 |
$44.32 |