| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
134 |
124 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
119 |
108 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
61 |
53 |
$4K |
| 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) |
286 |
268 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
147 |
139 |
$2K |
| 90686 |
|
90 |
75 |
$1K |
| 90656 |
|
49 |
49 |
$911.03 |
| 96160 |
|
212 |
201 |
$514.44 |
| 99173 |
|
171 |
162 |
$378.41 |
| 90677 |
|
29 |
24 |
$251.60 |
| 90698 |
|
12 |
12 |
$231.84 |
| 90680 |
|
12 |
12 |
$231.84 |
| 96127 |
|
29 |
24 |
$216.93 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
14 |
$188.46 |
| 90633 |
|
18 |
13 |
$138.32 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
320 |
237 |
$130.02 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
606 |
548 |
$76.68 |
| 99441 |
|
53 |
49 |
$70.04 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
78 |
$51.82 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
124 |
120 |
$8.84 |
| 90461 |
|
106 |
81 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
386 |
338 |
$0.00 |