| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
834 |
774 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
862 |
728 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
67 |
64 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
42 |
39 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
126 |
118 |
$2K |
| 87428 |
|
27 |
26 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
108 |
52 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
61 |
$760.50 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
20 |
12 |
$616.00 |
| 87807 |
|
58 |
52 |
$529.98 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
41 |
38 |
$133.08 |
| 90677 |
|
14 |
14 |
$112.00 |
| 90670 |
|
15 |
12 |
$96.00 |
| 90686 |
|
24 |
16 |
$88.00 |
| 99173 |
|
25 |
12 |
$48.00 |
| 1036F |
|
298 |
263 |
$0.00 |
| 1126F |
|
132 |
110 |
$0.00 |
| 3008F |
|
564 |
498 |
$0.00 |
| 3074F |
|
160 |
139 |
$0.00 |
| 1125F |
|
13 |
12 |
$0.00 |
| 1159F |
|
251 |
205 |
$0.00 |
| 1160F |
|
251 |
205 |
$0.00 |
| 3078F |
|
133 |
118 |
$0.00 |
| 3725F |
|
70 |
61 |
$0.00 |