| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,675 |
2,336 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
910 |
906 |
$85K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
487 |
485 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
381 |
379 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
464 |
441 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
49 |
$4K |
| 99188 |
|
175 |
175 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
48 |
$3K |
| 90698 |
|
504 |
441 |
$2K |
| 90686 |
|
666 |
551 |
$2K |
| 90670 |
|
452 |
401 |
$2K |
| 90680 |
|
140 |
126 |
$440.00 |
| 92551 |
|
472 |
469 |
$395.69 |
| 99173 |
|
619 |
615 |
$328.53 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
344 |
335 |
$277.09 |
| 90633 |
|
42 |
42 |
$143.00 |
| 90677 |
|
12 |
12 |
$132.00 |
| 85018 |
|
95 |
95 |
$66.41 |
| 83655 |
|
176 |
175 |
$22.00 |
| 96160 |
|
133 |
133 |
$14.37 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$2.45 |
| 96161 |
|
267 |
267 |
$0.00 |
| 96127 |
|
65 |
65 |
$0.00 |
| 90744 |
|
77 |
69 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
30 |
30 |
$0.00 |
| 90710 |
|
15 |
15 |
$0.00 |