| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
643 |
605 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
182 |
175 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
589 |
244 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
199 |
193 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
128 |
$5K |
| 99460 |
|
13 |
13 |
$881.73 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
17 |
17 |
$530.14 |
| 90677 |
|
92 |
92 |
$85.00 |
| 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) |
256 |
248 |
$0.00 |
| 90633 |
|
14 |
14 |
$0.00 |
| 90680 |
|
59 |
59 |
$0.00 |
| 90656 |
|
34 |
33 |
$0.00 |
| 90697 |
|
75 |
75 |
$0.00 |