| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
259 |
238 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
125 |
117 |
$11K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
48 |
47 |
$7K |
| 92552 |
|
101 |
97 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
252 |
198 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
15 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
67 |
$862.97 |
| S9470 |
Nutritional counseling, dietitian visit |
19 |
19 |
$570.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
19 |
19 |
$570.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
319 |
220 |
$567.05 |
| 90686 |
|
93 |
93 |
$480.60 |
| 99072 |
|
766 |
678 |
$308.79 |
| 99173 |
|
128 |
121 |
$240.00 |
| 90688 |
|
13 |
13 |
$231.92 |
| 83655 |
|
66 |
60 |
$29.07 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
30 |
29 |
$0.00 |
| 90461 |
|
44 |
12 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
46 |
40 |
$0.00 |
| 99000 |
|
172 |
122 |
$0.00 |
| 85018 |
|
66 |
60 |
$0.00 |
| 85013 |
|
66 |
60 |
$0.00 |