| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,629 |
7,077 |
$367K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,459 |
1,310 |
$84K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
521 |
468 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,110 |
975 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
194 |
171 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
185 |
171 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
890 |
761 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
166 |
$9K |
| 99188 |
|
368 |
365 |
$6K |
| 92551 |
|
684 |
594 |
$5K |
| 92567 |
|
464 |
339 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
595 |
516 |
$2K |
| 90461 |
|
301 |
243 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
17 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
18 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
20 |
12 |
$849.88 |
| 99173 |
|
815 |
702 |
$815.20 |
| 96127 |
|
434 |
355 |
$702.81 |
| 36415 |
Collection of venous blood by venipuncture |
209 |
206 |
$389.54 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
12 |
$356.50 |
| 90686 |
|
232 |
191 |
$355.32 |
| 90716 |
|
16 |
14 |
$170.00 |
| 96160 |
|
27 |
27 |
$66.89 |
| 99000 |
|
107 |
97 |
$4.76 |
| 36416 |
|
18 |
13 |
$1.98 |
| 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) |
56 |
54 |
$0.22 |
| 1450F |
|
122 |
116 |
$0.00 |
| 2018F |
|
486 |
437 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
277 |
232 |
$0.00 |
| G9820 |
Documentation of a chlamydia screening test with proper follow-up |
183 |
151 |
$0.00 |
| 4019F |
|
56 |
54 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 99072 |
|
81 |
79 |
$0.00 |
| 3008F |
|
642 |
552 |
$0.00 |
| 2030F |
|
509 |
459 |
$0.00 |
| 2001F |
|
107 |
94 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
169 |
158 |
$0.00 |
| 97802 |
|
17 |
14 |
$0.00 |