| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,470 |
1,341 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,325 |
1,310 |
$58K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,902 |
1,778 |
$50K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
618 |
399 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
686 |
676 |
$33K |
| 96151 |
|
819 |
812 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
312 |
311 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
234 |
233 |
$17K |
| 96150 |
|
494 |
487 |
$11K |
| 92551 |
|
528 |
527 |
$7K |
| 99383 |
|
87 |
87 |
$6K |
| 90670 |
|
641 |
632 |
$6K |
| 90698 |
|
557 |
549 |
$5K |
| 90633 |
|
511 |
504 |
$5K |
| 90686 |
|
477 |
475 |
$4K |
| 90744 |
|
354 |
348 |
$3K |
| 90680 |
|
325 |
317 |
$3K |
| 90716 |
|
190 |
188 |
$2K |
| 92552 |
|
98 |
98 |
$2K |
| 99382 |
|
26 |
26 |
$2K |
| 90707 |
|
169 |
167 |
$2K |
| 90651 |
|
132 |
132 |
$1K |
| 90734 |
|
119 |
119 |
$1K |
| 99173 |
|
247 |
247 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
96 |
96 |
$1K |
| 99384 |
|
12 |
12 |
$1K |
| 90696 |
|
79 |
79 |
$702.00 |
| 90710 |
|
70 |
70 |
$630.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
79 |
$580.17 |
| 90685 |
|
59 |
59 |
$531.00 |
| 90658 |
|
55 |
55 |
$495.00 |
| 85018 |
|
185 |
184 |
$405.03 |
| 96127 |
|
78 |
78 |
$375.18 |
| 90715 |
|
31 |
31 |
$279.00 |
| 90681 |
|
29 |
29 |
$261.00 |
| 85999 |
|
86 |
86 |
$258.86 |
| 90700 |
|
13 |
13 |
$117.00 |
| 99050 |
|
14 |
14 |
$114.80 |
| 82948 |
|
42 |
41 |
$113.82 |
| 99000 |
|
26 |
24 |
$94.38 |
| 81000 |
|
29 |
29 |
$81.13 |
| 86580 |
|
273 |
273 |
$55.37 |
| 81001 |
|
274 |
274 |
$31.78 |