| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,433 |
1,372 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,537 |
1,448 |
$106K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,083 |
1,062 |
$23K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
242 |
242 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 96127 |
|
369 |
365 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
47 |
$610.15 |
| 90686 |
|
185 |
184 |
$418.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$412.91 |
| G9007 |
Coordinated care fee, scheduled team conference |
93 |
93 |
$0.07 |
| 99173 |
|
75 |
75 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |