| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,286 |
2,984 |
$211K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,103 |
2,797 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
994 |
966 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
707 |
687 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
543 |
522 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
970 |
916 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,882 |
1,746 |
$27K |
| 90461 |
|
736 |
676 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,559 |
1,492 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,069 |
984 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
93 |
90 |
$8K |
| 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) |
416 |
331 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
94 |
$2K |
| 90686 |
|
325 |
324 |
$1K |
| 96127 |
|
210 |
202 |
$931.18 |
| 90670 |
|
57 |
54 |
$916.57 |
| 0071A |
|
19 |
19 |
$885.60 |
| 90677 |
|
56 |
56 |
$795.03 |
| 0072A |
|
17 |
16 |
$787.20 |
| 90619 |
|
16 |
15 |
$659.87 |
| 90656 |
|
41 |
41 |
$419.10 |
| 99051 |
|
392 |
371 |
$369.00 |
| 99072 |
|
3,262 |
2,788 |
$280.08 |
| 90698 |
|
24 |
24 |
$237.41 |
| 90700 |
|
12 |
12 |
$85.08 |
| 96161 |
|
38 |
32 |
$15.26 |
| 90744 |
|
15 |
12 |
$0.00 |
| 91307 |
|
42 |
39 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
679 |
567 |
$0.00 |