| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,481 |
1,357 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
194 |
194 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
277 |
271 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
105 |
104 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
91 |
90 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
119 |
112 |
$3K |
| 90686 |
|
401 |
327 |
$2K |
| 99173 |
|
343 |
340 |
$837.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$343.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$212.54 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
169 |
168 |
$150.92 |
| 90672 |
|
13 |
13 |
$143.00 |
| 92551 |
|
148 |
145 |
$72.41 |
| 96127 |
|
162 |
159 |
$57.44 |
| 96160 |
|
175 |
168 |
$21.44 |
| S9451 |
Exercise classes, non-physician provider, per session |
637 |
631 |
$0.20 |
| 99080 |
|
501 |
496 |
$0.13 |
| G9920 |
Screening performed and negative |
150 |
150 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90661 |
|
54 |
54 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
96 |
96 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |