| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,806 |
2,611 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,923 |
3,569 |
$138K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,125 |
1,117 |
$109K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
952 |
937 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
716 |
707 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
671 |
670 |
$61K |
| 99173 |
|
2,420 |
2,391 |
$11K |
| 92551 |
|
2,260 |
2,232 |
$10K |
| 90688 |
|
1,242 |
1,068 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
129 |
$3K |
| 96127 |
|
1,305 |
1,241 |
$2K |
| 90698 |
|
497 |
467 |
$2K |
| 96161 |
|
371 |
371 |
$1K |
| 90670 |
|
287 |
280 |
$902.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
114 |
113 |
$852.59 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
31 |
$729.75 |
| 90677 |
|
57 |
57 |
$667.00 |
| 90633 |
|
82 |
68 |
$319.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
456 |
452 |
$310.58 |
| 90680 |
|
120 |
119 |
$304.50 |
| 90651 |
|
16 |
14 |
$121.00 |
| 90734 |
|
33 |
29 |
$99.00 |
| 82465 |
|
14 |
14 |
$84.70 |
| 83718 |
|
14 |
14 |
$77.00 |
| 96160 |
|
1,044 |
1,034 |
$67.09 |
| 85018 |
|
13 |
13 |
$10.79 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
989 |
978 |
$0.00 |
| 90619 |
|
24 |
24 |
$0.00 |
| 90744 |
|
28 |
28 |
$0.00 |
| 90620 |
|
28 |
27 |
$0.00 |
| 99499 |
|
357 |
346 |
$0.00 |
| 99188 |
|
1,104 |
1,102 |
$0.00 |
| 90710 |
|
26 |
26 |
$0.00 |
| 83655 |
|
66 |
66 |
$0.00 |
| 90671 |
|
61 |
61 |
$0.00 |
| 80061 |
Lipid panel |
25 |
25 |
$0.00 |