| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,159 |
4,637 |
$418K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,204 |
1,141 |
$139K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
489 |
480 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
497 |
407 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
259 |
217 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
229 |
215 |
$22K |
| 96160 |
|
8,094 |
3,945 |
$21K |
| 90686 |
|
799 |
787 |
$18K |
| 92551 |
|
1,712 |
1,634 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,777 |
1,547 |
$15K |
| 96127 |
|
1,414 |
1,305 |
$6K |
| 99173 |
|
1,971 |
1,893 |
$5K |
| 90670 |
|
178 |
176 |
$4K |
| 0072A |
|
105 |
102 |
$4K |
| 0071A |
|
99 |
96 |
$4K |
| 0002A |
|
86 |
84 |
$3K |
| 90698 |
|
133 |
133 |
$3K |
| 0001A |
|
70 |
69 |
$3K |
| 90680 |
|
66 |
66 |
$2K |
| 90656 |
|
65 |
65 |
$1K |
| 91320 |
|
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
134 |
48 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
31 |
$1K |
| 90480 |
|
40 |
38 |
$1K |
| 90744 |
|
28 |
26 |
$629.92 |
| 90633 |
|
26 |
26 |
$605.28 |
| 0124A |
|
15 |
15 |
$600.00 |
| 0154A |
|
15 |
13 |
$520.00 |
| 96161 |
|
167 |
162 |
$464.94 |
| 0004A |
|
13 |
13 |
$400.00 |
| 99050 |
|
45 |
45 |
$390.00 |
| 90734 |
|
13 |
12 |
$279.36 |
| 99000 |
|
128 |
124 |
$4.02 |
| 91315 |
|
13 |
13 |
$0.08 |
| G9920 |
Screening performed and negative |
1,037 |
1,016 |
$0.00 |
| 91300 |
|
45 |
39 |
$0.00 |
| 91307 |
|
80 |
66 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
100 |
100 |
$0.00 |