| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,004 |
944 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
738 |
298 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
239 |
226 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
87 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
72 |
72 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
30 |
30 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$1K |
| 90677 |
|
145 |
141 |
$658.75 |
| 90656 |
|
30 |
30 |
$21.25 |
| 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) |
387 |
355 |
$19.04 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90680 |
|
102 |
102 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90697 |
|
100 |
100 |
$0.00 |