| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,591 |
2,308 |
$163K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,479 |
1,313 |
$130K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
841 |
819 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
248 |
129 |
$3K |
| 90686 |
|
268 |
266 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
159 |
158 |
$1K |
| 96127 |
|
441 |
435 |
$1K |
| 90682 |
|
13 |
13 |
$715.00 |
| 0012A |
|
22 |
22 |
$610.30 |
| 99000 |
|
74 |
67 |
$360.64 |
| 0011A |
|
23 |
23 |
$350.90 |
| 90656 |
|
29 |
29 |
$335.25 |
| 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) |
71 |
59 |
$16.00 |
| 1159F |
|
4,883 |
4,087 |
$0.00 |
| 1160F |
|
4,870 |
4,079 |
$0.00 |
| 1036F |
|
537 |
460 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
830 |
704 |
$0.00 |
| 1126F |
|
986 |
893 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
473 |
404 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
53 |
53 |
$0.00 |
| 1125F |
|
52 |
48 |
$0.00 |