| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
293 |
233 |
$15K |
| 99199 |
Unlisted special service, procedure or report |
2,232 |
1,151 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
104 |
76 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
53 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$928.62 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
24 |
$925.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
58 |
48 |
$380.57 |
| 99051 |
|
13 |
13 |
$317.76 |
| 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) |
47 |
43 |
$167.10 |
| 92551 |
|
57 |
50 |
$152.88 |
| 99173 |
|
40 |
39 |
$41.35 |
| 85018 |
|
17 |
16 |
$29.20 |
| 99177 |
|
31 |
29 |
$13.05 |
| 36416 |
|
22 |
14 |
$0.00 |