| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,006 |
980 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,172 |
1,157 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
136 |
136 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
106 |
106 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
39 |
39 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
25 |
$2K |
| 99051 |
|
14 |
14 |
$428.00 |
| 90686 |
|
59 |
59 |
$132.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$122.97 |
| 96127 |
|
99 |
99 |
$73.92 |
| 96160 |
|
99 |
99 |
$64.32 |
| 92551 |
|
108 |
108 |
$52.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$21.56 |
| G9920 |
Screening performed and negative |
177 |
177 |
$0.00 |
| 99177 |
|
37 |
37 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
36 |
36 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |