| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,270 |
2,846 |
$139K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
692 |
663 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
548 |
505 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
576 |
535 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,250 |
1,997 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,627 |
1,474 |
$26K |
| 92551 |
|
2,355 |
2,212 |
$17K |
| 96127 |
|
1,004 |
904 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
143 |
134 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
315 |
292 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,118 |
992 |
$7K |
| 96160 |
|
1,077 |
963 |
$4K |
| 99173 |
|
2,425 |
2,216 |
$4K |
| 90473 |
|
326 |
320 |
$2K |
| 99188 |
|
59 |
36 |
$865.80 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$801.92 |
| 0071A |
|
23 |
21 |
$741.60 |
| 90655 |
|
117 |
116 |
$644.38 |
| 96161 |
|
148 |
145 |
$627.54 |
| 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) |
48 |
46 |
$607.50 |
| 90677 |
|
12 |
12 |
$553.40 |
| 90656 |
|
625 |
584 |
$447.02 |
| 0072A |
|
16 |
14 |
$441.36 |
| 90660 |
|
352 |
321 |
$347.44 |
| 90480 |
|
19 |
13 |
$255.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
41 |
$181.21 |
| 90474 |
|
39 |
25 |
$173.47 |
| 90621 |
|
12 |
12 |
$149.14 |
| 90734 |
|
29 |
25 |
$116.40 |
| 91308 |
|
53 |
38 |
$0.33 |
| 90620 |
|
56 |
55 |
$0.00 |
| 91307 |
|
69 |
58 |
$0.00 |
| 91305 |
|
43 |
43 |
$0.00 |
| 90686 |
|
153 |
126 |
$0.00 |
| 90651 |
|
16 |
14 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90670 |
|
124 |
109 |
$0.00 |
| 90633 |
|
405 |
393 |
$0.00 |
| 90461 |
|
23 |
23 |
$0.00 |
| 90648 |
|
25 |
15 |
$0.00 |
| 91300 |
|
16 |
12 |
$0.00 |