| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
397 |
373 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
251 |
233 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
390 |
253 |
$10K |
| 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) |
560 |
510 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
53 |
$5K |
| 90461 |
|
60 |
56 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
46 |
$724.42 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
53 |
47 |
$287.84 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
33 |
26 |
$204.00 |
| 96127 |
|
48 |
37 |
$141.42 |
| 90656 |
|
71 |
71 |
$0.54 |
| 90670 |
|
12 |
12 |
$0.12 |
| 90686 |
|
35 |
35 |
$0.01 |
| 96161 |
|
45 |
39 |
$0.00 |