| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,093 |
5,415 |
$325K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,218 |
2,823 |
$229K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,902 |
2,486 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,474 |
1,213 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
549 |
529 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
117 |
113 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,717 |
1,437 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
52 |
52 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
66 |
65 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
153 |
93 |
$1K |
| 90670 |
|
530 |
432 |
$1K |
| 90633 |
|
13 |
13 |
$744.88 |
| 90647 |
|
385 |
314 |
$702.44 |
| 90656 |
|
69 |
66 |
$641.78 |
| 90686 |
|
376 |
349 |
$558.07 |
| 90474 |
|
214 |
171 |
$189.08 |
| 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) |
143 |
134 |
$25.31 |
| 90680 |
|
281 |
233 |
$0.00 |
| 90651 |
|
17 |
13 |
$0.00 |
| 90723 |
|
415 |
343 |
$0.00 |
| 91307 |
|
14 |
12 |
$0.00 |
| 0072A |
|
12 |
12 |
$0.00 |
| 90677 |
|
199 |
171 |
$0.00 |