| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
703 |
683 |
$45K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
542 |
515 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
31 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
43 |
$559.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$86.24 |
| 90686 |
|
22 |
15 |
$77.00 |
| 92551 |
|
27 |
27 |
$29.20 |
| 99177 |
|
14 |
14 |
$26.43 |
| G9920 |
Screening performed and negative |
100 |
100 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |