| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,578 |
1,534 |
$123K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
884 |
884 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,515 |
1,453 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
530 |
530 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
532 |
527 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
219 |
219 |
$21K |
| 99051 |
|
258 |
258 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
200 |
199 |
$3K |
| 90686 |
|
448 |
441 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
38 |
$962.78 |
| 90648 |
|
285 |
282 |
$943.04 |
| 90670 |
|
227 |
224 |
$924.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$520.00 |
| 87428 |
|
20 |
20 |
$476.60 |
| 92551 |
|
767 |
765 |
$428.16 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
752 |
752 |
$419.53 |
| 90723 |
|
60 |
60 |
$352.00 |
| 99188 |
|
14 |
14 |
$277.20 |
| 99177 |
|
607 |
607 |
$272.51 |
| 90680 |
|
32 |
32 |
$240.00 |
| 96127 |
|
367 |
367 |
$162.14 |
| 96160 |
|
367 |
367 |
$141.09 |
| 90633 |
|
24 |
24 |
$121.00 |
| 83655 |
|
40 |
40 |
$0.00 |
| G9920 |
Screening performed and negative |
437 |
437 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90661 |
|
52 |
52 |
$0.00 |
| 96161 |
|
165 |
164 |
$0.00 |
| 90656 |
|
36 |
36 |
$0.00 |
| 90677 |
|
68 |
68 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |
| 90619 |
|
16 |
16 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
132 |
131 |
$0.00 |