| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,918 |
3,862 |
$370K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
596 |
403 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
463 |
403 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
307 |
214 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,084 |
813 |
$18K |
| G0425 |
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
164 |
148 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
236 |
176 |
$17K |
| 96127 |
|
866 |
659 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
685 |
543 |
$11K |
| 99173 |
|
1,097 |
862 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
75 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
222 |
165 |
$7K |
| 92558 |
|
472 |
331 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
135 |
104 |
$5K |
| 90686 |
|
167 |
106 |
$1K |
| 81002 |
|
405 |
310 |
$1K |
| 87634 |
|
12 |
12 |
$564.20 |
| 92567 |
|
31 |
26 |
$508.99 |
| 90670 |
|
74 |
42 |
$506.08 |
| 90698 |
|
49 |
28 |
$366.46 |
| 90680 |
|
43 |
24 |
$304.20 |
| 87807 |
|
25 |
12 |
$291.71 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$278.37 |
| 90671 |
|
12 |
12 |
$213.68 |
| 90744 |
|
19 |
13 |
$137.89 |
| 99072 |
|
162 |
96 |
$12.50 |
| 94760 |
|
22 |
13 |
$2.59 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
319 |
153 |
$0.00 |