| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,258 |
3,019 |
$84K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,122 |
819 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,555 |
1,440 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,449 |
1,405 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
990 |
984 |
$43K |
| 92552 |
|
2,148 |
2,127 |
$34K |
| 90686 |
|
1,825 |
1,810 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
277 |
269 |
$12K |
| 96127 |
|
2,396 |
1,908 |
$11K |
| 85018 |
|
2,944 |
2,893 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
233 |
228 |
$5K |
| 99188 |
|
244 |
233 |
$4K |
| 90670 |
|
248 |
240 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$2K |
| G9920 |
Screening performed and negative |
436 |
433 |
$1K |
| 99000 |
|
336 |
305 |
$1K |
| 0071A |
|
30 |
30 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
78 |
77 |
$826.02 |
| 0072A |
|
18 |
18 |
$720.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
40 |
$679.34 |
| 99177 |
|
52 |
46 |
$648.44 |
| 90698 |
|
60 |
54 |
$540.00 |
| 90633 |
|
30 |
26 |
$491.39 |
| 99173 |
|
204 |
192 |
$448.64 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$212.29 |
| 87999 |
|
29 |
29 |
$150.80 |
| 99406 |
|
13 |
13 |
$134.03 |
| 90744 |
|
13 |
13 |
$117.00 |
| 90680 |
|
12 |
12 |
$108.00 |
| 96160 |
|
648 |
515 |
$0.00 |
| 4004F |
|
13 |
13 |
$0.00 |