| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,819 |
17,619 |
$997K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,316 |
4,028 |
$354K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,290 |
3,271 |
$287K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,241 |
6,904 |
$185K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,264 |
2,120 |
$168K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
575 |
565 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,804 |
2,038 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,111 |
2,093 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,793 |
1,295 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
158 |
151 |
$14K |
| 90461 |
|
4,111 |
3,640 |
$13K |
| 99000 |
|
1,215 |
1,180 |
$10K |
| 87428 |
|
137 |
135 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
31 |
30 |
$3K |
| 90474 |
|
102 |
95 |
$1K |
| 90480 |
|
26 |
26 |
$588.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
34 |
34 |
$467.03 |
| 88720 |
|
15 |
14 |
$69.39 |
| 90686 |
|
2,347 |
2,316 |
$1.90 |
| 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) |
131 |
123 |
$0.01 |
| 90697 |
|
330 |
317 |
$0.01 |
| 90633 |
|
265 |
260 |
$0.00 |
| 90670 |
|
2,289 |
2,249 |
$0.00 |
| 90710 |
|
111 |
110 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |
| 99177 |
|
42 |
42 |
$0.00 |
| 90698 |
|
935 |
932 |
$0.00 |
| 90680 |
|
1,117 |
1,093 |
$0.00 |
| 90677 |
|
514 |
493 |
$0.00 |
| 36416 |
|
36 |
25 |
$0.00 |
| 90656 |
|
175 |
174 |
$0.00 |
| 91317 |
|
14 |
13 |
$0.00 |
| 90744 |
|
105 |
105 |
$0.00 |
| 90651 |
|
44 |
44 |
$0.00 |