| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,793 |
1,674 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
425 |
394 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
92 |
$11K |
| 90686 |
|
476 |
469 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
66 |
55 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
32 |
25 |
$3K |
| 96127 |
|
95 |
84 |
$2K |
| 96161 |
|
54 |
43 |
$778.50 |
| 90670 |
|
28 |
26 |
$614.88 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
62 |
41 |
$572.00 |
| 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) |
43 |
42 |
$521.84 |
| 90661 |
|
24 |
24 |
$417.24 |
| 90698 |
|
12 |
12 |
$263.52 |
| 99072 |
|
75 |
70 |
$125.00 |
| 99177 |
|
56 |
56 |
$75.00 |