| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
623 |
593 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
309 |
284 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
198 |
157 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
258 |
238 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
106 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
113 |
108 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
87 |
82 |
$7K |
| 96127 |
|
342 |
293 |
$5K |
| 92551 |
|
325 |
276 |
$5K |
| 90686 |
|
144 |
125 |
$2K |
| 90671 |
|
70 |
62 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
95 |
81 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17 |
13 |
$1K |
| 90697 |
|
42 |
39 |
$701.82 |
| 36416 |
|
168 |
132 |
$688.80 |
| 90656 |
|
35 |
29 |
$598.01 |
| 90680 |
|
25 |
24 |
$417.75 |
| 90672 |
|
18 |
13 |
$300.78 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$257.28 |
| 90619 |
|
13 |
13 |
$217.23 |
| 90651 |
|
12 |
12 |
$200.52 |
| 90661 |
|
12 |
12 |
$200.52 |
| 85018 |
|
29 |
24 |
$67.28 |
| 1220F |
|
122 |
104 |
$0.00 |
| 1036F |
|
206 |
178 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
531 |
470 |
$0.00 |
| 1003F |
|
559 |
501 |
$0.00 |
| 90461 |
|
144 |
139 |
$0.00 |