| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,796 |
1,647 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
655 |
649 |
$36K |
| 99072 |
|
3,375 |
3,008 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
298 |
295 |
$18K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
538 |
523 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
464 |
456 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
187 |
170 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
225 |
205 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
123 |
117 |
$589.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,379 |
1,324 |
$272.61 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
95 |
90 |
$267.25 |
| 96161 |
|
341 |
302 |
$178.78 |
| 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) |
31 |
30 |
$78.22 |
| 96127 |
|
380 |
375 |
$13.23 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
367 |
362 |
$0.00 |
| 90688 |
|
386 |
381 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| G9275 |
Documentation that patient is a current non-tobacco user |
12 |
12 |
$0.00 |
| 90621 |
|
26 |
26 |
$0.00 |
| 90633 |
|
15 |
12 |
$0.00 |
| 90648 |
|
51 |
51 |
$0.00 |
| 90671 |
|
38 |
36 |
$0.00 |
| S9999 |
Sales tax |
132 |
130 |
$0.00 |
| 90670 |
|
27 |
27 |
$0.00 |
| 90687 |
|
16 |
16 |
$0.00 |