| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
823 |
804 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,018 |
988 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
141 |
138 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
99 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
72 |
72 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
39 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
442 |
440 |
$3K |
| 99173 |
|
335 |
332 |
$2K |
| 92551 |
|
397 |
396 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
33 |
31 |
$847.19 |
| 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) |
30 |
29 |
$579.00 |
| 99051 |
|
22 |
21 |
$573.51 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
40 |
39 |
$510.85 |
| 99188 |
|
15 |
15 |
$337.50 |
| 90686 |
|
19 |
16 |
$200.00 |
| 83655 |
|
20 |
20 |
$187.50 |
| 99177 |
|
27 |
27 |
$157.68 |
| 96127 |
|
116 |
116 |
$140.72 |
| 96161 |
|
60 |
58 |
$117.45 |
| 96160 |
|
112 |
112 |
$88.72 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
59 |
59 |
$0.00 |
| 90677 |
|
18 |
18 |
$0.00 |
| G9920 |
Screening performed and negative |
93 |
93 |
$0.00 |
| 90648 |
|
18 |
18 |
$0.00 |