| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,600 |
4,014 |
$393K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,352 |
2,124 |
$278K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
882 |
867 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
656 |
650 |
$101K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
420 |
412 |
$67K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,089 |
2,282 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,038 |
1,020 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
145 |
140 |
$26K |
| 92552 |
|
1,475 |
1,453 |
$14K |
| 92081 |
|
1,135 |
1,114 |
$8K |
| 94664 |
|
86 |
81 |
$2K |
| 90461 |
|
370 |
313 |
$908.31 |
| 90686 |
|
435 |
428 |
$730.06 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
46 |
$219.02 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
29 |
$86.60 |
| 90651 |
|
13 |
13 |
$35.51 |
| 90633 |
|
123 |
120 |
$0.01 |
| 90671 |
|
127 |
127 |
$0.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
17 |
17 |
$0.00 |
| 90680 |
|
121 |
117 |
$0.00 |
| 90744 |
|
14 |
14 |
$0.00 |
| 90677 |
|
24 |
24 |
$0.00 |
| 97802 |
|
28 |
26 |
$0.00 |
| 2015F |
|
26 |
16 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| 36416 |
|
12 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
60 |
55 |
$0.00 |
| 90670 |
|
258 |
245 |
$0.00 |
| 90700 |
|
281 |
276 |
$0.00 |
| 90648 |
|
103 |
100 |
$0.00 |
| 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) |
15 |
15 |
$0.00 |
| 90713 |
|
42 |
39 |
$0.00 |