| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,741 |
5,919 |
$482K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,514 |
1,482 |
$148K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,442 |
1,416 |
$145K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,074 |
1,004 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
648 |
615 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
548 |
538 |
$60K |
| 90686 |
|
2,903 |
2,863 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,015 |
3,907 |
$40K |
| 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) |
695 |
659 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
514 |
509 |
$15K |
| 99215 |
Prolong outpt/office vis |
72 |
71 |
$13K |
| D0191 |
|
1,356 |
1,325 |
$13K |
| 90461 |
|
301 |
299 |
$9K |
| 90670 |
|
404 |
389 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
170 |
159 |
$7K |
| 99493 |
|
51 |
51 |
$7K |
| 97803 |
|
87 |
71 |
$6K |
| 90698 |
|
360 |
349 |
$6K |
| 0072A |
|
123 |
122 |
$5K |
| 0071A |
|
126 |
123 |
$5K |
| 90677 |
|
154 |
146 |
$3K |
| 90680 |
|
136 |
132 |
$3K |
| 90656 |
|
114 |
114 |
$2K |
| 90697 |
|
85 |
83 |
$2K |
| 92551 |
|
134 |
130 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
60 |
$938.18 |
| 96160 |
|
220 |
217 |
$711.55 |
| D1206 |
Topical application of fluoride varnish |
33 |
30 |
$530.31 |
| 0001A |
|
13 |
13 |
$461.40 |
| 0004A |
|
12 |
12 |
$381.40 |
| 90744 |
|
28 |
28 |
$329.40 |
| 99188 |
|
30 |
28 |
$312.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$266.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$192.00 |
| 99173 |
|
25 |
25 |
$80.50 |
| 91307 |
|
317 |
306 |
$2.05 |
| 90685 |
|
16 |
16 |
$0.00 |
| 91300 |
|
44 |
39 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |