| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,875 |
3,629 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,635 |
2,522 |
$259K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,795 |
1,702 |
$160K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,232 |
1,222 |
$115K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
495 |
491 |
$48K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,701 |
3,656 |
$25K |
| 99215 |
Prolong outpt/office vis |
131 |
127 |
$17K |
| 90670 |
|
991 |
980 |
$15K |
| 90686 |
|
891 |
889 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
224 |
213 |
$9K |
| 96127 |
|
1,459 |
1,394 |
$6K |
| 90698 |
|
345 |
336 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
54 |
54 |
$6K |
| 90688 |
|
354 |
353 |
$4K |
| 90680 |
|
169 |
165 |
$3K |
| 90633 |
|
113 |
113 |
$2K |
| 90744 |
|
78 |
77 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
140 |
76 |
$1K |
| 90677 |
|
99 |
99 |
$1K |
| 90651 |
|
82 |
82 |
$986.70 |
| 90647 |
|
64 |
64 |
$762.19 |
| 90685 |
|
48 |
48 |
$706.31 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$397.71 |
| 90723 |
|
25 |
25 |
$368.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$364.16 |
| 90656 |
|
91 |
91 |
$362.92 |
| 96161 |
|
183 |
179 |
$318.72 |
| 90734 |
|
14 |
14 |
$140.23 |
| 92551 |
|
12 |
12 |
$81.50 |
| 99173 |
|
17 |
17 |
$29.04 |
| 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) |
282 |
261 |
$26.40 |
| 3078F |
|
31 |
31 |
$0.00 |
| 3008F |
|
63 |
60 |
$0.00 |
| 3074F |
|
34 |
34 |
$0.00 |