| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,814 |
2,575 |
$160K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,891 |
1,778 |
$79K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
692 |
623 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
591 |
583 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
330 |
327 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,781 |
2,639 |
$10K |
| 99307 |
|
506 |
458 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,361 |
1,274 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
123 |
123 |
$5K |
| 91320 |
|
62 |
62 |
$4K |
| 90677 |
|
208 |
206 |
$3K |
| 90480 |
|
176 |
176 |
$2K |
| 90686 |
|
1,091 |
1,036 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$868.68 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$748.98 |
| 90656 |
|
166 |
164 |
$736.15 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
237 |
150 |
$543.24 |
| 87428 |
|
12 |
12 |
$508.72 |
| 0002A |
|
19 |
12 |
$353.39 |
| 0071A |
|
15 |
13 |
$320.00 |
| 90474 |
|
160 |
154 |
$299.23 |
| 91307 |
|
30 |
24 |
$160.04 |
| 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) |
85 |
84 |
$127.60 |
| 90723 |
|
313 |
306 |
$97.97 |
| 90680 |
|
245 |
239 |
$95.96 |
| 96381 |
|
22 |
22 |
$73.39 |
| 93793 |
|
77 |
54 |
$45.50 |
| 90648 |
|
437 |
428 |
$12.80 |
| 99177 |
|
113 |
113 |
$11.04 |
| 90670 |
|
241 |
233 |
$0.00 |
| 90633 |
|
67 |
65 |
$0.00 |
| 91321 |
|
51 |
49 |
$0.00 |
| 91300 |
|
15 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90651 |
|
40 |
39 |
$0.00 |
| 90381 |
|
16 |
16 |
$0.00 |