| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,546 |
4,089 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,217 |
1,213 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,250 |
1,245 |
$39K |
| 92551 |
|
3,214 |
3,197 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,335 |
1,325 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
548 |
543 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
906 |
877 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
327 |
319 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
36 |
$1K |
| 90649 |
|
245 |
245 |
$1K |
| H0049 |
Alcohol and/or drug screening |
1,225 |
1,220 |
$1K |
| 92552 |
|
43 |
41 |
$1K |
| 90734 |
|
210 |
209 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
37 |
$901.30 |
| 85032 |
|
3,403 |
3,381 |
$668.78 |
| 90670 |
|
126 |
126 |
$351.00 |
| 90686 |
|
51 |
51 |
$333.84 |
| 99173 |
|
201 |
201 |
$315.29 |
| 86403 |
|
47 |
46 |
$309.55 |
| 90648 |
|
125 |
124 |
$252.00 |
| 99172 |
|
2,805 |
2,791 |
$232.23 |
| 94200 |
|
140 |
140 |
$156.00 |
| 90723 |
|
39 |
38 |
$153.00 |
| 83018 |
|
245 |
241 |
$33.07 |
| 90657 |
|
81 |
80 |
$27.00 |
| 92081 |
|
29 |
27 |
$20.16 |
| 90715 |
|
13 |
13 |
$9.00 |
| 90658 |
|
416 |
413 |
$9.00 |
| 87420 |
|
51 |
51 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
57 |
$0.00 |
| 85018 |
|
45 |
45 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
37 |
37 |
$0.00 |