| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,759 |
3,199 |
$221K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,590 |
1,458 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
397 |
396 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,722 |
1,609 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
345 |
328 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
191 |
191 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
356 |
355 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
52 |
$4K |
| 96127 |
|
729 |
680 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
170 |
167 |
$2K |
| 92551 |
|
193 |
193 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
77 |
$635.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$561.47 |
| 0071A |
|
12 |
12 |
$454.20 |
| 0001A |
|
12 |
12 |
$454.20 |
| 90686 |
|
342 |
323 |
$142.43 |
| 99177 |
|
25 |
25 |
$72.08 |
| 36416 |
|
12 |
12 |
$24.00 |
| G9007 |
Coordinated care fee, scheduled team conference |
82 |
72 |
$0.07 |
| 98966 |
|
29 |
27 |
$0.01 |
| 99173 |
|
168 |
168 |
$0.00 |
| 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) |
337 |
270 |
$0.00 |
| 99072 |
|
242 |
207 |
$0.00 |
| G9002 |
Coordinated care fee, maintenance rate |
15 |
14 |
$0.00 |
| 91300 |
|
15 |
15 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 99000 |
|
16 |
16 |
$0.00 |
| 94760 |
|
333 |
276 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |