| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,413 |
4,213 |
$276K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,570 |
2,493 |
$226K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
95 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
134 |
134 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
87 |
87 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
879 |
877 |
$5K |
| 90756 |
|
167 |
167 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
47 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
75 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
55 |
55 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
170 |
169 |
$1K |
| 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) |
102 |
99 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$876.96 |
| 90674 |
|
48 |
48 |
$863.29 |
| 99460 |
|
12 |
12 |
$852.72 |
| 99441 |
|
29 |
27 |
$523.26 |
| 96127 |
|
91 |
91 |
$318.13 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26 |
26 |
$261.43 |
| 99406 |
|
26 |
26 |
$231.83 |
| 90670 |
|
16 |
16 |
$176.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$142.02 |
| 90658 |
|
22 |
22 |
$104.45 |
| H0049 |
Alcohol and/or drug screening |
97 |
97 |
$96.00 |
| 99000 |
|
64 |
63 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |