| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,572 |
2,299 |
$138K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
421 |
371 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
343 |
325 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
785 |
737 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
230 |
207 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
153 |
151 |
$10K |
| 99173 |
|
1,480 |
1,330 |
$6K |
| 92552 |
|
1,296 |
1,158 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
106 |
90 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
61 |
$2K |
| 90677 |
|
60 |
60 |
$1K |
| 87070 |
|
141 |
134 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
130 |
$1K |
| 90619 |
|
28 |
28 |
$626.40 |
| 90700 |
|
423 |
375 |
$594.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$542.10 |
| 90688 |
|
96 |
69 |
$429.00 |
| 96161 |
|
112 |
110 |
$352.36 |
| 90713 |
|
254 |
227 |
$286.00 |
| 92551 |
|
137 |
131 |
$260.86 |
| 81003 |
|
110 |
103 |
$228.14 |
| 90671 |
|
16 |
16 |
$176.00 |
| 96127 |
|
336 |
300 |
$159.10 |
| 90707 |
|
67 |
63 |
$132.00 |
| 90744 |
|
16 |
12 |
$121.00 |
| 81000 |
|
63 |
58 |
$99.15 |
| 96160 |
|
455 |
406 |
$76.86 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
89 |
89 |
$0.00 |
| 90647 |
|
44 |
44 |
$0.00 |
| 90674 |
|
37 |
37 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
31 |
$0.00 |
| 90716 |
|
48 |
48 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 90734 |
|
32 |
32 |
$0.00 |
| 90648 |
|
27 |
25 |
$0.00 |
| 90670 |
|
26 |
26 |
$0.00 |