| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,996 |
3,719 |
$239K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,840 |
1,704 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,651 |
1,617 |
$103K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
587 |
574 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
878 |
868 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
644 |
607 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,332 |
5,126 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
303 |
300 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,937 |
2,811 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
204 |
199 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
858 |
547 |
$3K |
| 87428 |
|
40 |
40 |
$2K |
| 90670 |
|
750 |
708 |
$1K |
| 90686 |
|
1,968 |
1,915 |
$859.89 |
| 90680 |
|
701 |
682 |
$659.47 |
| 0002A |
|
23 |
13 |
$440.01 |
| 90656 |
|
247 |
238 |
$423.85 |
| 90474 |
|
701 |
679 |
$421.30 |
| 0071A |
|
19 |
13 |
$373.81 |
| 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) |
40 |
39 |
$127.60 |
| 90648 |
|
1,278 |
1,227 |
$108.62 |
| 91307 |
|
64 |
49 |
$88.72 |
| 96381 |
|
51 |
51 |
$28.98 |
| 90480 |
|
37 |
37 |
$28.20 |
| 99177 |
|
65 |
65 |
$25.88 |
| 85018 |
|
14 |
14 |
$11.47 |
| 90651 |
|
234 |
233 |
$0.00 |
| 90381 |
|
41 |
41 |
$0.00 |
| 90723 |
|
867 |
839 |
$0.00 |
| 90677 |
|
515 |
511 |
$0.00 |
| 90696 |
|
44 |
43 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 91318 |
|
13 |
13 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90633 |
|
368 |
361 |
$0.00 |
| 90734 |
|
67 |
67 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90715 |
|
32 |
32 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |
| 90710 |
|
46 |
45 |
$0.00 |