| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
912 |
876 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
552 |
510 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
399 |
388 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
158 |
155 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
55 |
$5K |
| 90461 |
|
90 |
68 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$2K |
| 87428 |
|
19 |
19 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
155 |
152 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
60 |
57 |
$864.00 |
| 99051 |
|
61 |
59 |
$707.49 |
| 87430 |
|
14 |
14 |
$230.58 |
| 85018 |
|
62 |
61 |
$127.84 |
| 96127 |
|
124 |
60 |
$90.80 |
| 92551 |
|
414 |
300 |
$28.00 |
| 90686 |
|
63 |
63 |
$21.90 |
| 96160 |
|
184 |
99 |
$12.50 |
| 99071 |
|
2,193 |
1,369 |
$0.01 |
| 36416 |
|
173 |
100 |
$0.00 |
| 99000 |
|
56 |
36 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
67 |
28 |
$0.00 |
| 99177 |
|
66 |
40 |
$0.00 |
| 90671 |
|
12 |
12 |
$0.00 |
| 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) |
19 |
19 |
$0.00 |