| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,581 |
2,383 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,655 |
1,528 |
$135K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,070 |
1,051 |
$74K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,628 |
3,306 |
$43K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,874 |
2,798 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
584 |
572 |
$41K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
985 |
965 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
333 |
332 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
224 |
224 |
$15K |
| 92551 |
|
751 |
742 |
$9K |
| 90686 |
|
1,500 |
1,473 |
$7K |
| 99173 |
|
824 |
812 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
41 |
$1K |
| 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) |
290 |
263 |
$617.83 |
| 90670 |
|
103 |
103 |
$452.88 |
| 90716 |
|
14 |
14 |
$286.98 |
| 90707 |
|
14 |
14 |
$286.98 |
| 90734 |
|
25 |
25 |
$274.62 |
| 90648 |
|
128 |
128 |
$176.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$154.89 |
| 90723 |
|
24 |
24 |
$0.00 |
| 90658 |
|
76 |
76 |
$0.00 |
| 90672 |
|
49 |
44 |
$0.00 |