| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,340 |
1,270 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
550 |
549 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
471 |
471 |
$45K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
335 |
331 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
262 |
262 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
265 |
259 |
$21K |
| 99177 |
|
302 |
301 |
$454.02 |
| 92551 |
|
702 |
702 |
$432.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
569 |
569 |
$421.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$349.71 |
| 96127 |
|
383 |
383 |
$273.68 |
| 96160 |
|
382 |
382 |
$232.78 |
| 90661 |
|
53 |
53 |
$0.00 |
| 99173 |
|
77 |
77 |
$0.00 |
| 90648 |
|
156 |
156 |
$0.00 |
| G9920 |
Screening performed and negative |
537 |
535 |
$0.00 |
| 90670 |
|
116 |
116 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 96161 |
|
97 |
97 |
$0.00 |
| 90680 |
|
27 |
27 |
$0.00 |
| 90723 |
|
55 |
55 |
$0.00 |
| 90686 |
|
167 |
166 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
199 |
199 |
$0.00 |
| 90619 |
|
40 |
40 |
$0.00 |
| 90677 |
|
51 |
51 |
$0.00 |
| 90656 |
|
14 |
14 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |