| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,351 |
3,842 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,283 |
1,227 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
621 |
606 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
436 |
425 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
487 |
468 |
$23K |
| 96151 |
|
871 |
867 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
179 |
153 |
$13K |
| 92551 |
|
1,059 |
1,058 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
241 |
236 |
$8K |
| 90686 |
|
668 |
667 |
$6K |
| 92552 |
|
320 |
320 |
$5K |
| 83655 |
|
154 |
153 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
217 |
214 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$2K |
| 90670 |
|
217 |
212 |
$2K |
| 90698 |
|
215 |
210 |
$2K |
| 90734 |
|
196 |
196 |
$2K |
| 96150 |
|
66 |
66 |
$2K |
| 90651 |
|
165 |
165 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
83 |
$1K |
| 85018 |
|
391 |
386 |
$854.37 |
| 99173 |
|
118 |
118 |
$830.54 |
| 96127 |
|
162 |
161 |
$779.22 |
| 90633 |
|
86 |
85 |
$774.00 |
| 90621 |
|
78 |
78 |
$702.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
29 |
$395.56 |
| 90680 |
|
43 |
43 |
$387.00 |
| 90715 |
|
43 |
43 |
$387.00 |
| 90744 |
|
40 |
40 |
$360.00 |
| 90696 |
|
24 |
24 |
$216.00 |
| 81002 |
|
77 |
74 |
$207.71 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$195.72 |
| 81000 |
|
134 |
131 |
$180.18 |
| 90710 |
|
14 |
14 |
$126.00 |
| 86580 |
|
92 |
92 |
$105.04 |
| 81001 |
|
68 |
68 |
$0.00 |
| 85999 |
|
69 |
68 |
$0.00 |