| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,419 |
1,237 |
$131K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
765 |
664 |
$99K |
| 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) |
1,875 |
1,612 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
245 |
231 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
90 |
$10K |
| 96160 |
|
1,471 |
1,440 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
55 |
$6K |
| 90677 |
|
86 |
85 |
$4K |
| 90656 |
|
168 |
168 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
37 |
36 |
$889.31 |
| 90697 |
|
27 |
27 |
$852.00 |
| 99051 |
|
56 |
42 |
$755.00 |
| 90680 |
|
25 |
25 |
$582.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$147.03 |
| 96127 |
|
28 |
28 |
$146.01 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
63 |
63 |
$129.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$115.18 |
| 96161 |
|
26 |
26 |
$72.02 |
| 85018 |
|
27 |
24 |
$49.47 |
| 36416 |
|
148 |
144 |
$7.50 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
15 |
15 |
$0.00 |