| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,656 |
1,537 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
594 |
527 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
177 |
176 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
86 |
81 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,085 |
1,073 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 90670 |
|
160 |
159 |
$868.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
944 |
935 |
$743.53 |
| 90688 |
|
93 |
91 |
$743.24 |
| 99188 |
|
104 |
104 |
$331.74 |
| 90698 |
|
170 |
168 |
$305.55 |
| 91307 |
|
17 |
12 |
$280.00 |
| 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) |
153 |
142 |
$258.64 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
744 |
739 |
$214.37 |
| 90687 |
|
14 |
14 |
$110.25 |
| 96127 |
|
14 |
13 |
$40.05 |
| 96161 |
|
14 |
14 |
$2.17 |
| 90680 |
|
26 |
25 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90473 |
|
14 |
13 |
$0.00 |