| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,475 |
985 |
$110K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,572 |
897 |
$102K |
| 99199 |
Unlisted special service, procedure or report |
17,829 |
11,732 |
$93K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,644 |
1,002 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
713 |
382 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,298 |
730 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,156 |
2,168 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
188 |
133 |
$15K |
| 96160 |
|
4,875 |
2,313 |
$11K |
| 99381 |
|
133 |
93 |
$10K |
| 83655 |
|
542 |
258 |
$4K |
| 87428 |
|
116 |
52 |
$4K |
| 96161 |
|
1,280 |
831 |
$3K |
| 96127 |
|
696 |
318 |
$2K |
| 85018 |
|
714 |
354 |
$1K |
| 92551 |
|
399 |
187 |
$704.02 |
| 99173 |
|
671 |
397 |
$566.52 |
| 90461 |
|
186 |
81 |
$407.76 |
| 92552 |
|
45 |
33 |
$163.50 |
| 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) |
33 |
31 |
$77.98 |
| 36416 |
|
963 |
220 |
$9.48 |
| 90670 |
|
55 |
41 |
$0.02 |
| 90698 |
|
46 |
31 |
$0.01 |
| 99174 |
|
801 |
415 |
$0.00 |