| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,121 |
1,049 |
$89K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,208 |
1,138 |
$70K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,896 |
1,828 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
225 |
225 |
$9K |
| 87428 |
|
127 |
124 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
213 |
200 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
177 |
177 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
82 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
79 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
579 |
563 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
88 |
$1K |
| 91320 |
|
17 |
16 |
$786.60 |
| 90686 |
|
708 |
683 |
$659.31 |
| 90656 |
|
85 |
84 |
$236.43 |
| 90480 |
|
32 |
31 |
$136.40 |
| 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) |
78 |
76 |
$102.08 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22 |
14 |
$53.97 |
| 90723 |
|
60 |
60 |
$0.00 |
| 90677 |
|
32 |
30 |
$0.00 |
| 90716 |
|
16 |
14 |
$0.00 |
| 91307 |
|
18 |
12 |
$0.00 |
| 90680 |
|
27 |
27 |
$0.00 |
| 90474 |
|
27 |
27 |
$0.00 |
| 90648 |
|
120 |
118 |
$0.00 |
| 90670 |
|
89 |
88 |
$0.00 |
| 90633 |
|
14 |
13 |
$0.00 |
| 90707 |
|
16 |
14 |
$0.00 |