| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,267 |
3,030 |
$195K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,011 |
837 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,751 |
1,282 |
$50K |
| 99442 |
|
1,446 |
1,208 |
$25K |
| 99402 |
|
533 |
385 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
367 |
259 |
$12K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
261 |
205 |
$11K |
| 99401 |
|
227 |
163 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
74 |
54 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
336 |
250 |
$2K |
| 99441 |
|
233 |
181 |
$2K |
| 96127 |
|
268 |
186 |
$715.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
55 |
18 |
$523.73 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
15 |
$414.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
31 |
$311.86 |
| 81002 |
|
119 |
86 |
$172.62 |
| 99375 |
|
30 |
27 |
$0.00 |
| G0179 |
Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care |
12 |
12 |
$0.00 |