| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,501 |
9,899 |
$131K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,210 |
1,188 |
$93K |
| G9920 |
Screening performed and negative |
3,724 |
3,718 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,406 |
1,404 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,411 |
1,407 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,019 |
1,018 |
$47K |
| 99381 |
|
410 |
400 |
$42K |
| 92551 |
|
3,945 |
3,934 |
$29K |
| 90700 |
|
1,628 |
1,619 |
$14K |
| 90713 |
|
1,321 |
1,314 |
$12K |
| 90648 |
|
1,182 |
1,164 |
$11K |
| 90670 |
|
1,042 |
1,037 |
$10K |
| 90680 |
|
779 |
776 |
$8K |
| 90656 |
|
952 |
949 |
$8K |
| 85018 |
|
4,492 |
4,288 |
$6K |
| 90744 |
|
512 |
510 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
38 |
$5K |
| 90686 |
|
475 |
472 |
$3K |
| 90633 |
|
304 |
297 |
$3K |
| 90716 |
|
277 |
275 |
$2K |
| 86580 |
|
671 |
671 |
$2K |
| 90707 |
|
212 |
211 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
244 |
238 |
$2K |
| 90655 |
|
162 |
162 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 90649 |
|
90 |
90 |
$783.00 |
| 90734 |
|
31 |
31 |
$261.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
146 |
138 |
$180.80 |
| 90620 |
|
25 |
25 |
$162.00 |
| 99173 |
|
1,426 |
1,422 |
$9.08 |
| 96127 |
|
67 |
67 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
142 |
142 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
840 |
825 |
$0.00 |
| 92081 |
|
885 |
881 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
83 |
$0.00 |
| 81003 |
|
14 |
13 |
$0.00 |