| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,540 |
1,468 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,748 |
1,696 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
941 |
938 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
661 |
661 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
585 |
585 |
$56K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
192 |
188 |
$17K |
| 92551 |
|
2,015 |
2,012 |
$7K |
| 99177 |
|
1,660 |
1,658 |
$3K |
| 90686 |
|
328 |
316 |
$2K |
| 99173 |
|
203 |
203 |
$975.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
24 |
$881.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
52 |
$802.90 |
| 96127 |
|
848 |
848 |
$413.60 |
| 96160 |
|
849 |
849 |
$359.89 |
| 80061 |
Lipid panel |
68 |
68 |
$240.63 |
| 90648 |
|
58 |
57 |
$167.00 |
| 90670 |
|
26 |
26 |
$154.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
51 |
51 |
$63.12 |
| G9920 |
Screening performed and negative |
468 |
467 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
273 |
273 |
$0.00 |
| 96161 |
|
41 |
41 |
$0.00 |
| 90656 |
|
63 |
63 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 90677 |
|
29 |
29 |
$0.00 |
| 90619 |
|
15 |
15 |
$0.00 |