| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,206 |
2,702 |
$143K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,074 |
1,673 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,500 |
1,119 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,237 |
901 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,340 |
1,644 |
$52K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,156 |
1,708 |
$41K |
| 90461 |
|
1,097 |
843 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
86 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
59 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
120 |
90 |
$5K |
| 90677 |
|
551 |
491 |
$2K |
| 96127 |
|
827 |
606 |
$2K |
| 90670 |
|
450 |
317 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
158 |
86 |
$2K |
| 99215 |
Prolong outpt/office vis |
69 |
38 |
$1K |
| 90723 |
|
710 |
580 |
$1K |
| 99381 |
|
22 |
17 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
26 |
24 |
$534.98 |
| 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) |
276 |
221 |
$325.89 |
| 90633 |
|
285 |
208 |
$290.09 |
| 90647 |
|
699 |
565 |
$280.81 |
| 96161 |
|
92 |
67 |
$233.56 |
| 90681 |
|
193 |
150 |
$186.50 |
| 83655 |
|
17 |
12 |
$72.66 |
| 36416 |
|
55 |
38 |
$56.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
30 |
12 |
$49.28 |
| 85018 |
|
37 |
26 |
$30.34 |
| 90686 |
|
181 |
127 |
$22.35 |
| 90700 |
|
36 |
25 |
$18.78 |
| 90685 |
|
51 |
51 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
18 |
16 |
$0.00 |