| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
648 |
549 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
424 |
377 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
112 |
111 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
104 |
103 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
74 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
65 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
117 |
115 |
$4K |
| 69210 |
|
90 |
89 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
83 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
269 |
265 |
$2K |
| 90670 |
|
78 |
76 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
111 |
107 |
$2K |
| 90651 |
|
40 |
40 |
$1K |
| 90621 |
|
33 |
33 |
$1K |
| 90734 |
|
27 |
27 |
$1K |
| 90698 |
|
43 |
42 |
$778.00 |
| 90680 |
|
38 |
38 |
$714.25 |
| 96127 |
|
161 |
149 |
$711.30 |
| 99173 |
|
272 |
271 |
$661.96 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
450 |
430 |
$426.84 |
| 90633 |
|
13 |
13 |
$164.03 |
| 90461 |
|
158 |
152 |
$115.60 |
| 99415 |
Prolong outpt/office vis |
14 |
13 |
$77.87 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
47 |
47 |
$0.00 |