| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,450 |
5,178 |
$443K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,246 |
2,127 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
165 |
156 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
747 |
718 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
116 |
113 |
$15K |
| 96127 |
|
284 |
251 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
52 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
202 |
191 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
53 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$2K |
| 99442 |
|
39 |
39 |
$2K |
| 0071A |
|
41 |
41 |
$2K |
| 0072A |
|
36 |
36 |
$1K |
| 90480 |
|
26 |
26 |
$1K |
| 92551 |
|
97 |
94 |
$564.63 |
| 99177 |
|
20 |
18 |
$360.00 |
| 99173 |
|
41 |
40 |
$296.40 |
| 90686 |
|
1,605 |
1,564 |
$152.24 |
| 36416 |
|
12 |
12 |
$41.64 |
| 94760 |
|
13 |
12 |
$18.26 |
| 1160F |
|
2,627 |
2,416 |
$0.00 |
| 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) |
333 |
316 |
$0.00 |
| 1159F |
|
2,624 |
2,413 |
$0.00 |
| 91321 |
|
26 |
26 |
$0.00 |
| 3078F |
|
441 |
430 |
$0.00 |
| 99072 |
|
14 |
14 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 1036F |
|
1,898 |
1,752 |
$0.00 |
| 3008F |
|
1,303 |
1,270 |
$0.00 |
| 90656 |
|
169 |
166 |
$0.00 |
| 3074F |
|
497 |
477 |
$0.00 |
| 91307 |
|
77 |
77 |
$0.00 |