| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,806 |
1,654 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
138 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
157 |
123 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
29 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
188 |
145 |
$3K |
| 90674 |
|
139 |
127 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
16 |
$2K |
| 90688 |
|
162 |
119 |
$1K |
| 90670 |
|
90 |
55 |
$1K |
| 90698 |
|
57 |
46 |
$906.82 |
| 90686 |
|
75 |
75 |
$480.00 |
| 90680 |
|
14 |
14 |
$233.94 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
16 |
16 |
$211.04 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$170.32 |
| 90685 |
|
22 |
15 |
$140.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
85 |
$0.00 |