| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,987 |
1,618 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
314 |
284 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
82 |
$7K |
| 96127 |
|
213 |
177 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21 |
21 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
110 |
106 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
86 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
58 |
48 |
$846.80 |
| 90619 |
|
28 |
27 |
$467.88 |
| 81002 |
|
163 |
153 |
$423.80 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$117.26 |
| 3074F |
|
432 |
391 |
$0.00 |
| 3008F |
|
811 |
730 |
$0.00 |