| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,145 |
2,884 |
$156K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
921 |
879 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
657 |
639 |
$47K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
825 |
765 |
$44K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,513 |
1,401 |
$41K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
676 |
634 |
$30K |
| 92551 |
|
1,815 |
1,739 |
$14K |
| 90686 |
|
753 |
708 |
$11K |
| 90698 |
|
397 |
381 |
$5K |
| 90670 |
|
483 |
458 |
$4K |
| 99173 |
|
1,783 |
1,711 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
99 |
$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) |
123 |
113 |
$2K |
| 90680 |
|
142 |
133 |
$971.08 |
| 90656 |
|
16 |
16 |
$354.00 |
| 90633 |
|
16 |
15 |
$331.05 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$152.17 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$127.66 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,717 |
2,545 |
$0.00 |
| 90685 |
|
83 |
79 |
$0.00 |
| 90461 |
|
114 |
99 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 90744 |
|
26 |
26 |
$0.00 |