| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,525 |
2,377 |
$143K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
953 |
908 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
582 |
577 |
$27K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
572 |
567 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
618 |
590 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
202 |
202 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,910 |
1,848 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,078 |
1,050 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
363 |
232 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
81 |
79 |
$1K |
| 0071A |
|
47 |
28 |
$840.01 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
25 |
$835.22 |
| 90474 |
|
194 |
189 |
$366.04 |
| 90686 |
|
599 |
580 |
$219.38 |
| 91307 |
|
42 |
35 |
$200.05 |
| 90473 |
|
100 |
100 |
$166.86 |
| 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) |
34 |
32 |
$76.56 |
| 90480 |
|
28 |
28 |
$41.44 |
| 96381 |
|
12 |
12 |
$14.49 |
| 99177 |
|
42 |
41 |
$5.52 |
| 90672 |
|
72 |
72 |
$0.00 |
| 90670 |
|
166 |
165 |
$0.00 |
| 90633 |
|
116 |
113 |
$0.00 |
| 90734 |
|
42 |
41 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90680 |
|
250 |
248 |
$0.00 |
| 90723 |
|
312 |
310 |
$0.00 |
| 90647 |
|
282 |
279 |
$0.00 |
| 90677 |
|
235 |
233 |
$0.00 |
| 90651 |
|
85 |
84 |
$0.00 |
| 90660 |
|
31 |
28 |
$0.00 |
| 90656 |
|
84 |
83 |
$0.00 |