| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
1,334 |
1,290 |
$201K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,020 |
2,946 |
$125K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,201 |
1,174 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
740 |
739 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
499 |
498 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
434 |
430 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
136 |
136 |
$9K |
| 99051 |
|
160 |
159 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
174 |
169 |
$2K |
| 90686 |
|
288 |
283 |
$1K |
| 99188 |
|
39 |
39 |
$732.60 |
| 90670 |
|
68 |
68 |
$313.00 |
| 90648 |
|
93 |
93 |
$308.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
13 |
$250.90 |
| 92551 |
|
761 |
760 |
$244.94 |
| 90633 |
|
12 |
12 |
$132.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
259 |
259 |
$82.37 |
| 96127 |
|
134 |
134 |
$80.08 |
| 96160 |
|
134 |
134 |
$69.68 |
| 99177 |
|
236 |
236 |
$52.86 |
| 96161 |
|
148 |
148 |
$0.00 |
| 85018 |
|
12 |
12 |
$0.00 |
| 3008F |
|
548 |
530 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
86 |
86 |
$0.00 |
| 90677 |
|
25 |
25 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
318 |
318 |
$0.00 |
| 99173 |
|
80 |
80 |
$0.00 |
| 90661 |
|
18 |
18 |
$0.00 |