| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,007 |
910 |
$54K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
593 |
483 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
212 |
165 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
137 |
117 |
$11K |
| 87428 |
|
158 |
149 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
412 |
321 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
55 |
49 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
35 |
32 |
$3K |
| 96127 |
|
150 |
124 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
123 |
102 |
$2K |
| D1206 |
Topical application of fluoride varnish |
47 |
27 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
23 |
16 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
25 |
$1K |
| 99460 |
|
12 |
12 |
$693.24 |
| 90686 |
|
23 |
16 |
$372.54 |
| 83655 |
|
28 |
24 |
$320.42 |
| 90656 |
|
15 |
15 |
$283.85 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
13 |
$160.60 |
| 81002 |
|
34 |
28 |
$91.85 |
| 85018 |
|
30 |
24 |
$69.60 |
| 36416 |
|
16 |
12 |
$65.60 |