| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,669 |
4,906 |
$228K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
507 |
481 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,487 |
708 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
196 |
191 |
$15K |
| 99050 |
|
304 |
288 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
164 |
152 |
$12K |
| 97802 |
|
690 |
674 |
$6K |
| 92551 |
|
479 |
466 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
87 |
80 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
340 |
329 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
148 |
138 |
$5K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
692 |
676 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$564.40 |
| 96127 |
|
82 |
69 |
$269.79 |
| 85018 |
|
41 |
40 |
$165.36 |
| 99406 |
|
12 |
12 |
$126.54 |
| H0001 |
Alcohol and/or drug assessment |
24 |
24 |
$105.40 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
24 |
24 |
$0.00 |