| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,222 |
3,892 |
$237K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,465 |
1,409 |
$106K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,358 |
1,252 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
832 |
829 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,033 |
1,029 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
589 |
585 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,086 |
4,938 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,428 |
2,363 |
$8K |
| 87428 |
|
96 |
94 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
293 |
287 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
734 |
448 |
$2K |
| 90686 |
|
1,299 |
1,260 |
$2K |
| 90474 |
|
511 |
500 |
$767.20 |
| 0072A |
|
19 |
19 |
$760.00 |
| 0071A |
|
17 |
17 |
$560.00 |
| 83655 |
|
82 |
82 |
$371.48 |
| 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) |
150 |
139 |
$229.68 |
| 99188 |
|
65 |
65 |
$196.57 |
| 90480 |
|
116 |
113 |
$169.20 |
| 90656 |
|
229 |
224 |
$160.56 |
| 90473 |
|
118 |
115 |
$111.07 |
| 96381 |
|
36 |
36 |
$57.96 |
| 90660 |
|
49 |
49 |
$45.70 |
| 90672 |
|
81 |
81 |
$44.65 |
| 0124A |
|
12 |
12 |
$37.61 |
| 81003 |
|
15 |
15 |
$27.64 |
| 85018 |
|
24 |
24 |
$13.08 |
| 99177 |
|
94 |
94 |
$5.52 |
| 90677 |
|
448 |
445 |
$0.00 |
| 90723 |
|
589 |
581 |
$0.00 |
| 90680 |
|
492 |
484 |
$0.00 |
| 90651 |
|
311 |
309 |
$0.00 |
| 90716 |
|
65 |
64 |
$0.00 |
| 90381 |
|
17 |
17 |
$0.00 |
| 91318 |
|
15 |
15 |
$0.00 |
| 90620 |
|
42 |
42 |
$0.00 |
| 90696 |
|
28 |
28 |
$0.00 |
| 91319 |
|
28 |
26 |
$0.00 |
| 91307 |
|
22 |
13 |
$0.00 |
| 90648 |
|
754 |
743 |
$0.00 |
| 90710 |
|
32 |
32 |
$0.00 |
| 90734 |
|
215 |
213 |
$0.00 |
| 90670 |
|
305 |
299 |
$0.00 |
| 90633 |
|
335 |
333 |
$0.00 |
| 90715 |
|
34 |
34 |
$0.00 |
| 90707 |
|
77 |
76 |
$0.00 |
| 91320 |
|
19 |
19 |
$0.00 |
| 90700 |
|
28 |
28 |
$0.00 |