| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,275 |
3,984 |
$268K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,265 |
1,111 |
$115K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
682 |
671 |
$67K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
311 |
286 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
164 |
156 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,360 |
2,312 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,712 |
1,685 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,501 |
2,460 |
$4K |
| 90688 |
|
562 |
557 |
$4K |
| 99188 |
|
375 |
367 |
$2K |
| 90687 |
|
127 |
127 |
$1K |
| 90670 |
|
446 |
442 |
$836.50 |
| 90474 |
|
40 |
36 |
$312.20 |
| 90698 |
|
520 |
506 |
$228.70 |
| 96161 |
|
115 |
107 |
$79.53 |
| 96127 |
|
15 |
15 |
$72.26 |
| 90680 |
|
82 |
75 |
$68.76 |
| 90633 |
|
25 |
24 |
$62.16 |
| 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) |
285 |
243 |
$13.37 |
| 90656 |
|
34 |
34 |
$0.17 |
| 90677 |
|
118 |
108 |
$0.04 |