| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,073 |
1,788 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,028 |
1,803 |
$81K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,313 |
1,118 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
140 |
120 |
$4K |
| 99383 |
|
41 |
39 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
24 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
25 |
$2K |
| 99384 |
|
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
15 |
$931.84 |
| 90686 |
|
159 |
150 |
$189.66 |
| 0011A |
|
31 |
27 |
$102.64 |
| 90651 |
|
72 |
71 |
$70.00 |
| 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) |
14 |
12 |
$8.04 |
| 3725F |
|
94 |
67 |
$0.00 |
| 3078F |
|
1,424 |
1,148 |
$0.00 |
| 1160F |
|
178 |
148 |
$0.00 |
| 96160 |
|
30 |
27 |
$0.00 |
| 99173 |
|
32 |
28 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 1159F |
|
33 |
13 |
$0.00 |
| 3008F |
|
2,771 |
2,127 |
$0.00 |
| 3074F |
|
1,563 |
1,361 |
$0.00 |
| 1036F |
|
233 |
187 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |
| 3079F |
|
72 |
56 |
$0.00 |
| 96127 |
|
39 |
38 |
$0.00 |