| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,397 |
11,802 |
$1.12M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,913 |
15,318 |
$990K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,142 |
15,046 |
$482K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,566 |
3,566 |
$329K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,381 |
2,291 |
$203K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,593 |
1,593 |
$145K |
| 90461 |
|
740 |
738 |
$30K |
| 92551 |
|
2,988 |
2,988 |
$18K |
| 99188 |
|
814 |
814 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
128 |
128 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
935 |
919 |
$7K |
| 99177 |
|
1,850 |
1,850 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
596 |
596 |
$7K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
374 |
372 |
$5K |
| 99051 |
|
523 |
514 |
$4K |
| 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) |
283 |
264 |
$4K |
| 99173 |
|
1,919 |
1,918 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
177 |
176 |
$2K |
| 96127 |
|
404 |
384 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$459.96 |
| 96160 |
|
157 |
157 |
$362.62 |
| 83655 |
|
25 |
25 |
$311.72 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
25 |
$233.22 |
| 85018 |
|
75 |
74 |
$169.17 |