| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,252 |
4,219 |
$1.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,319 |
1,190 |
$280K |
| X5622 |
|
475 |
464 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
319 |
307 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
121 |
120 |
$13K |
| 99188 |
|
118 |
116 |
$7K |
| 91307 |
|
19 |
12 |
$961.80 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$102.09 |
| 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) |
53 |
50 |
$76.35 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
14 |
$38.01 |
| 90656 |
|
49 |
47 |
$20.02 |
| 90686 |
|
297 |
287 |
$19.98 |
| 90670 |
|
122 |
118 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
453 |
438 |
$0.00 |
| 99173 |
|
384 |
375 |
$0.00 |
| 85014 |
|
29 |
27 |
$0.00 |
| 92552 |
|
37 |
36 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,126 |
1,080 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
434 |
425 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
637 |
555 |
$0.00 |
| V5008 |
Hearing screening |
300 |
292 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
153 |
139 |
$0.00 |
| 90723 |
|
60 |
60 |
$0.00 |
| 90647 |
|
62 |
60 |
$0.00 |
| 81001 |
|
12 |
12 |
$0.00 |
| 85018 |
|
29 |
27 |
$0.00 |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
58 |
57 |
$0.00 |
| 0011A |
|
14 |
14 |
$0.00 |
| 0012A |
|
18 |
18 |
$0.00 |