| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,601 |
1,540 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,736 |
1,649 |
$91K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
716 |
707 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
703 |
701 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
450 |
450 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
398 |
395 |
$34K |
| 92551 |
|
1,786 |
1,773 |
$6K |
| 99177 |
|
1,384 |
1,375 |
$3K |
| 90686 |
|
350 |
342 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
63 |
62 |
$992.01 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$790.65 |
| 99173 |
|
197 |
197 |
$725.00 |
| 96127 |
|
732 |
727 |
$441.76 |
| 96160 |
|
735 |
730 |
$384.41 |
| 90670 |
|
162 |
161 |
$187.00 |
| 90648 |
|
204 |
204 |
$134.00 |
| 80061 |
Lipid panel |
15 |
15 |
$96.84 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
99 |
99 |
$59.25 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
213 |
212 |
$0.00 |
| 90723 |
|
50 |
50 |
$0.00 |
| 90680 |
|
38 |
38 |
$0.00 |
| 90656 |
|
53 |
53 |
$0.00 |
| 96161 |
|
154 |
154 |
$0.00 |
| 90677 |
|
28 |
28 |
$0.00 |
| G9920 |
Screening performed and negative |
460 |
456 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |