| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
876 |
791 |
$80K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,036 |
1,003 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
263 |
259 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
193 |
192 |
$20K |
| 90686 |
|
1,086 |
1,070 |
$19K |
| 90670 |
|
376 |
365 |
$7K |
| 90698 |
|
288 |
278 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
52 |
$5K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
53 |
52 |
$4K |
| 90680 |
|
128 |
121 |
$2K |
| 90744 |
|
45 |
39 |
$735.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
27 |
$512.25 |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
12 |
12 |
$462.32 |
| 90651 |
|
29 |
28 |
$367.14 |
| 90656 |
|
24 |
24 |
$264.24 |
| 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) |
60 |
54 |
$0.00 |