| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,487 |
1,437 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,219 |
1,192 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
679 |
672 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
518 |
518 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
363 |
362 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
163 |
163 |
$13K |
| 99051 |
|
224 |
223 |
$6K |
| 90686 |
|
511 |
506 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
70 |
70 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
70 |
69 |
$1K |
| 90648 |
|
101 |
96 |
$841.00 |
| 90670 |
|
101 |
96 |
$836.00 |
| 92551 |
|
860 |
858 |
$559.81 |
| 96127 |
|
538 |
537 |
$373.34 |
| 96160 |
|
540 |
539 |
$325.39 |
| 99177 |
|
518 |
516 |
$279.15 |
| 99188 |
|
13 |
13 |
$257.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
381 |
381 |
$175.49 |
| 90633 |
|
13 |
13 |
$143.00 |
| 90661 |
|
48 |
48 |
$0.00 |
| G9920 |
Screening performed and negative |
352 |
351 |
$0.00 |
| 96161 |
|
28 |
28 |
$0.00 |
| 90656 |
|
21 |
21 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
196 |
195 |
$0.00 |