| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
746 |
696 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
135 |
131 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
135 |
125 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
799 |
430 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
69 |
54 |
$6K |
| 90461 |
|
70 |
66 |
$2K |
| 99401 |
|
70 |
68 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
62 |
44 |
$636.91 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$494.00 |
| 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) |
31 |
31 |
$420.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
22 |
20 |
$204.25 |
| 99000 |
|
15 |
14 |
$44.25 |
| 96127 |
|
12 |
12 |
$40.11 |
| 96160 |
|
12 |
12 |
$33.14 |