| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,484 |
2,444 |
$228K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,054 |
1,935 |
$155K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,484 |
1,463 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,151 |
2,019 |
$113K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,639 |
2,477 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
450 |
440 |
$40K |
| 90686 |
|
1,828 |
1,806 |
$16K |
| 90670 |
|
1,102 |
1,092 |
$11K |
| 90723 |
|
969 |
949 |
$9K |
| 90647 |
|
965 |
942 |
$9K |
| 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) |
824 |
750 |
$8K |
| 90680 |
|
745 |
733 |
$7K |
| 90633 |
|
396 |
394 |
$4K |
| 99188 |
|
172 |
172 |
$3K |
| 90677 |
|
356 |
344 |
$3K |
| 90656 |
|
223 |
223 |
$2K |
| 92551 |
|
2,485 |
2,457 |
$913.85 |
| G0008 |
Administration of influenza virus vaccine |
76 |
76 |
$863.97 |
| 90651 |
|
79 |
77 |
$753.30 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
29 |
$578.00 |
| 90648 |
|
47 |
47 |
$497.00 |
| 90710 |
|
39 |
39 |
$407.40 |
| 90734 |
|
28 |
28 |
$275.00 |
| 90696 |
|
26 |
26 |
$272.30 |
| 83655 |
|
1,325 |
1,315 |
$189.75 |
| 90700 |
|
13 |
13 |
$136.30 |
| 90707 |
|
12 |
12 |
$129.60 |
| 90716 |
|
12 |
12 |
$129.60 |
| 90681 |
|
12 |
12 |
$123.60 |
| 96127 |
|
289 |
285 |
$106.90 |
| 99177 |
|
1,135 |
1,115 |
$102.56 |
| 99173 |
|
507 |
499 |
$100.05 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
484 |
465 |
$88.44 |
| 96160 |
|
143 |
142 |
$0.00 |
| 80061 |
Lipid panel |
84 |
84 |
$0.00 |
| 85018 |
|
55 |
54 |
$0.00 |