| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,909 |
1,546 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,865 |
1,355 |
$162K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,337 |
1,052 |
$93K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,132 |
826 |
$86K |
| 96127 |
|
2,435 |
1,951 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
298 |
239 |
$22K |
| 90670 |
|
719 |
543 |
$17K |
| 90686 |
|
1,090 |
822 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
132 |
101 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
264 |
208 |
$5K |
| 90677 |
|
126 |
107 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
820 |
656 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
285 |
212 |
$5K |
| 90723 |
|
488 |
344 |
$4K |
| 90647 |
|
432 |
302 |
$4K |
| 99215 |
Prolong outpt/office vis |
58 |
34 |
$4K |
| 0001A |
|
81 |
54 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
226 |
211 |
$3K |
| 36416 |
|
793 |
586 |
$3K |
| 90680 |
|
230 |
178 |
$2K |
| 95251 |
|
95 |
89 |
$2K |
| 0071A |
|
45 |
27 |
$2K |
| 90633 |
|
187 |
127 |
$2K |
| 90672 |
|
108 |
92 |
$1K |
| 83655 |
|
94 |
78 |
$1K |
| 90656 |
|
62 |
57 |
$1K |
| 90697 |
|
53 |
49 |
$885.63 |
| 90660 |
|
48 |
45 |
$808.23 |
| 90651 |
|
33 |
28 |
$513.97 |
| 85018 |
|
92 |
76 |
$230.82 |