| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,080 |
1,044 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,394 |
1,333 |
$72K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
514 |
514 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
393 |
392 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
291 |
288 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
66 |
$6K |
| 90686 |
|
302 |
295 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
48 |
46 |
$1K |
| 90648 |
|
123 |
123 |
$1K |
| 90670 |
|
122 |
122 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
60 |
$886.72 |
| 90723 |
|
41 |
41 |
$451.00 |
| 92551 |
|
517 |
516 |
$364.62 |
| 90680 |
|
29 |
29 |
$348.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
449 |
448 |
$217.05 |
| 96127 |
|
235 |
234 |
$175.12 |
| 96160 |
|
235 |
234 |
$152.38 |
| 83655 |
|
13 |
13 |
$68.88 |
| 99177 |
|
299 |
298 |
$47.43 |
| G9920 |
Screening performed and negative |
317 |
316 |
$0.00 |
| 90661 |
|
47 |
47 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
85 |
85 |
$0.00 |
| 96161 |
|
110 |
110 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |