| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,724 |
3,389 |
$241K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,128 |
2,922 |
$154K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
991 |
932 |
$63K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,915 |
1,830 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
454 |
445 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
203 |
198 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
81 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,146 |
1,107 |
$3K |
| 96127 |
|
33 |
32 |
$1K |
| 90677 |
|
104 |
101 |
$783.00 |
| 90656 |
|
63 |
58 |
$318.03 |
| 90686 |
|
220 |
214 |
$281.47 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
46 |
$221.82 |
| 90715 |
|
13 |
13 |
$42.53 |
| 90474 |
|
50 |
49 |
$20.72 |
| 99177 |
|
15 |
15 |
$10.18 |
| 90670 |
|
194 |
192 |
$0.00 |
| 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) |
17 |
16 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90698 |
|
39 |
37 |
$0.00 |
| 90680 |
|
75 |
73 |
$0.00 |