| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,070 |
990 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
434 |
376 |
$36K |
| 87428 |
|
186 |
169 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
82 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
333 |
277 |
$6K |
| 96127 |
|
349 |
299 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
80 |
76 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
79 |
60 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
63 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$668.47 |
| 90656 |
|
32 |
30 |
$527.88 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
32 |
32 |
$467.20 |
| 99000 |
|
15 |
13 |
$338.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
16 |
$288.64 |
| 90686 |
|
14 |
14 |
$217.23 |
| 83655 |
|
13 |
12 |
$143.89 |
| 36416 |
|
34 |
31 |
$139.40 |
| 85018 |
|
42 |
37 |
$91.41 |