| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,305 |
1,292 |
$64K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
696 |
684 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
150 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
90 |
90 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
66 |
$6K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99051 |
|
53 |
53 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
42 |
$665.49 |
| 90686 |
|
156 |
153 |
$352.00 |
| 96127 |
|
231 |
231 |
$90.42 |
| 96160 |
|
246 |
246 |
$86.35 |
| 92551 |
|
219 |
219 |
$52.00 |
| G9920 |
Screening performed and negative |
70 |
70 |
$0.00 |
| 99177 |
|
55 |
55 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
71 |
71 |
$0.00 |