| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,902 |
1,730 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,233 |
1,103 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
327 |
322 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,687 |
1,554 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
116 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
323 |
299 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
123 |
118 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
608 |
554 |
$7K |
| 92551 |
|
767 |
748 |
$6K |
| 90656 |
|
228 |
227 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
444 |
414 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
370 |
349 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
203 |
82 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
25 |
$2K |
| 99173 |
|
732 |
714 |
$2K |
| 90686 |
|
703 |
641 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
41 |
$908.50 |
| 90651 |
|
32 |
32 |
$468.34 |
| 96127 |
|
188 |
182 |
$311.08 |
| 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) |
12 |
12 |
$154.56 |
| 3008F |
|
3,388 |
2,912 |
$150.00 |
| 90685 |
|
31 |
30 |
$43.68 |
| 90700 |
|
14 |
12 |
$42.90 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
86 |
$18.09 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
49 |
47 |
$0.00 |
| 91307 |
|
59 |
57 |
$0.00 |