| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
581 |
560 |
$30K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
229 |
225 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$307.61 |
| 92551 |
|
129 |
129 |
$30.54 |
| 96127 |
|
27 |
27 |
$6.16 |
| 96160 |
|
27 |
27 |
$5.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| G9920 |
Screening performed and negative |
81 |
81 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 99177 |
|
15 |
15 |
$0.00 |