| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,247 |
1,128 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
971 |
792 |
$2K |
| 99215 |
Prolong outpt/office vis |
167 |
160 |
$1K |
| 90677 |
|
57 |
57 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15 |
14 |
$906.77 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
83 |
$694.41 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
81 |
81 |
$684.49 |
| 99443 |
|
160 |
157 |
$452.00 |
| 99442 |
|
424 |
346 |
$358.32 |
| 90674 |
|
13 |
13 |
$326.31 |
| 99497 |
|
123 |
122 |
$295.76 |
| 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) |
26 |
25 |
$60.61 |
| 90694 |
|
57 |
57 |
$26.64 |
| 93000 |
|
12 |
12 |
$24.59 |
| 96127 |
|
160 |
160 |
$15.90 |
| 90662 |
|
27 |
27 |
$3.65 |
| 1036F |
|
20 |
20 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
19 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
59 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
18 |
18 |
$0.00 |
| 3725F |
|
24 |
23 |
$0.00 |
| 99051 |
|
33 |
31 |
$0.00 |
| 90653 |
|
28 |
28 |
$0.00 |
| 97803 |
|
17 |
17 |
$0.00 |