| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,160 |
7,748 |
$763K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,811 |
9,196 |
$645K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,226 |
2,225 |
$184K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,472 |
6,451 |
$164K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,395 |
1,395 |
$116K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
902 |
901 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
413 |
413 |
$38K |
| 92551 |
|
3,815 |
3,811 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,244 |
3,169 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
197 |
194 |
$3K |
| 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) |
209 |
193 |
$3K |
| 99173 |
|
2,688 |
2,685 |
$1K |
| 87428 |
|
15 |
15 |
$644.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$540.39 |
| 81000 |
|
140 |
137 |
$499.02 |
| 99051 |
|
56 |
55 |
$362.83 |
| 85018 |
|
26 |
26 |
$48.95 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$29.42 |
| 90686 |
|
1,162 |
1,160 |
$0.00 |
| 90670 |
|
110 |
110 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |