| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99443 |
|
3,223 |
2,651 |
$351K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,435 |
3,966 |
$337K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,904 |
2,545 |
$297K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
729 |
729 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
617 |
617 |
$59K |
| 99215 |
Prolong outpt/office vis |
183 |
174 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,981 |
2,922 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
219 |
218 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,158 |
557 |
$17K |
| 96127 |
|
4,015 |
2,506 |
$16K |
| 87070 |
|
1,577 |
1,493 |
$13K |
| 87184 |
|
1,577 |
1,493 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
98 |
94 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,809 |
1,708 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$3K |
| 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) |
208 |
172 |
$2K |
| 0072A |
|
16 |
16 |
$615.91 |
| 96160 |
|
2,205 |
2,203 |
$613.64 |
| 90651 |
|
40 |
39 |
$569.18 |
| 0071A |
|
14 |
14 |
$520.18 |
| 87807 |
|
25 |
24 |
$337.71 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
718 |
582 |
$310.39 |
| 90686 |
|
637 |
635 |
$292.12 |
| 83655 |
|
13 |
13 |
$195.00 |
| 90461 |
|
484 |
481 |
$183.37 |
| 99173 |
|
1,319 |
1,318 |
$163.65 |
| 90715 |
|
29 |
29 |
$154.30 |
| 99050 |
|
18 |
18 |
$99.75 |
| 99177 |
|
228 |
228 |
$51.89 |
| 85018 |
|
14 |
14 |
$28.00 |
| 90656 |
|
31 |
30 |
$23.54 |
| 94760 |
|
217 |
186 |
$15.96 |
| 96161 |
|
14 |
12 |
$8.10 |
| 91307 |
|
34 |
31 |
$1.80 |
| 90619 |
|
29 |
29 |
$0.00 |
| 36416 |
|
26 |
26 |
$0.00 |
| 90633 |
|
43 |
43 |
$0.00 |
| 99072 |
|
85 |
83 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |
| 90734 |
|
43 |
43 |
$0.00 |