| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,380 |
1,343 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
592 |
572 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
428 |
426 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
439 |
437 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
322 |
321 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
240 |
236 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
119 |
115 |
$2K |
| 99173 |
|
753 |
749 |
$1K |
| 90686 |
|
363 |
360 |
$1K |
| 87428 |
|
21 |
21 |
$500.43 |
| 90648 |
|
146 |
146 |
$409.00 |
| 90670 |
|
124 |
124 |
$407.00 |
| 92551 |
|
818 |
817 |
$380.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
187 |
187 |
$167.69 |
| 96127 |
|
418 |
418 |
$149.60 |
| 96160 |
|
418 |
418 |
$130.19 |
| 85018 |
|
42 |
41 |
$9.86 |
| G9920 |
Screening performed and negative |
67 |
67 |
$0.00 |
| 99177 |
|
79 |
79 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90723 |
|
16 |
16 |
$0.00 |
| 96161 |
|
80 |
80 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
31 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |