| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,715 |
8,572 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,824 |
5,718 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,560 |
1,554 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
874 |
873 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
466 |
466 |
$2K |
| 99173 |
|
2,429 |
2,422 |
$863.55 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
248 |
248 |
$818.54 |
| 96161 |
|
4,526 |
4,483 |
$680.61 |
| 99215 |
Prolong outpt/office vis |
104 |
102 |
$575.37 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
438 |
428 |
$402.93 |
| G9920 |
Screening performed and negative |
5,558 |
5,540 |
$87.00 |
| 96127 |
|
422 |
422 |
$42.77 |
| 85018 |
|
247 |
247 |
$39.50 |
| 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) |
139 |
139 |
$32.50 |
| 90648 |
|
210 |
209 |
$9.00 |
| 90633 |
|
94 |
93 |
$0.00 |
| 99177 |
|
26 |
26 |
$0.00 |
| 3078F |
|
428 |
416 |
$0.00 |
| 96160 |
|
81 |
81 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
90 |
90 |
$0.00 |
| 90734 |
|
60 |
60 |
$0.00 |
| 83655 |
|
111 |
110 |
$0.00 |
| 90670 |
|
99 |
97 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
42 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,284 |
1,272 |
$0.00 |
| 90686 |
|
1,950 |
1,950 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
969 |
965 |
$0.00 |
| 3074F |
|
638 |
621 |
$0.00 |
| 90677 |
|
105 |
105 |
$0.00 |
| 90656 |
|
393 |
393 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 90723 |
|
39 |
38 |
$0.00 |
| 3079F |
|
150 |
145 |
$0.00 |
| 90651 |
|
101 |
101 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |