| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,325 |
5,659 |
$364K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,569 |
1,451 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,033 |
1,005 |
$86K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
980 |
937 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
666 |
626 |
$53K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,983 |
3,770 |
$47K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,813 |
1,719 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
414 |
397 |
$35K |
| 96127 |
|
1,100 |
919 |
$4K |
| 99000 |
|
623 |
575 |
$2K |
| 96160 |
|
668 |
607 |
$2K |
| 99383 |
|
13 |
13 |
$1K |
| 99173 |
|
675 |
640 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
143 |
102 |
$891.40 |
| 0071A |
|
54 |
22 |
$818.62 |
| 94760 |
|
408 |
372 |
$645.40 |
| 0072A |
|
17 |
17 |
$632.57 |
| 36416 |
|
192 |
187 |
$567.41 |
| 99174 |
|
80 |
79 |
$387.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
27 |
$347.16 |
| 99401 |
|
19 |
13 |
$347.04 |
| 90670 |
|
435 |
422 |
$188.26 |
| 90686 |
|
936 |
897 |
$78.18 |
| 85018 |
|
26 |
26 |
$45.76 |
| 90651 |
|
80 |
78 |
$14.74 |
| 90656 |
|
103 |
102 |
$0.01 |
| 90619 |
|
15 |
12 |
$0.00 |
| 90698 |
|
380 |
362 |
$0.00 |
| 90680 |
|
105 |
98 |
$0.00 |
| 91307 |
|
102 |
63 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90633 |
|
75 |
75 |
$0.00 |
| 90685 |
|
33 |
33 |
$0.00 |
| 90621 |
|
16 |
13 |
$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) |
29 |
28 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |