| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,838 |
4,630 |
$186K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,187 |
2,164 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
622 |
622 |
$44K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
498 |
498 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
336 |
336 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
340 |
322 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
348 |
340 |
$21K |
| 90686 |
|
731 |
730 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
83 |
82 |
$607.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$363.14 |
| 90656 |
|
68 |
68 |
$86.85 |
| 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) |
12 |
12 |
$85.80 |
| 99072 |
|
1,698 |
1,629 |
$0.07 |
| 99080 |
|
32 |
30 |
$0.00 |
| 92015 |
Determination of refractive state |
30 |
30 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
42 |
42 |
$0.00 |
| 90461 |
|
30 |
30 |
$0.00 |
| 90670 |
|
26 |
26 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |