| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
20,251 |
11,766 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
867 |
641 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
702 |
473 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
62 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
410 |
326 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
27 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
27 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
12 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
12 |
$332.64 |
| 99173 |
|
302 |
225 |
$329.53 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
206 |
166 |
$261.74 |
| 85018 |
|
71 |
56 |
$137.24 |
| 81003 |
|
72 |
60 |
$105.48 |
| 92551 |
|
268 |
217 |
$81.45 |
| 96127 |
|
12 |
12 |
$80.75 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
13 |
$0.00 |