| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,626 |
1,390 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,710 |
1,482 |
$75K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,083 |
996 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,235 |
1,159 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
325 |
311 |
$19K |
| 90671 |
|
67 |
65 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
208 |
207 |
$14K |
| 92552 |
|
543 |
535 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
98 |
92 |
$6K |
| 90461 |
|
390 |
364 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
46 |
$3K |
| 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) |
219 |
181 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
188 |
185 |
$3K |
| 90686 |
|
518 |
503 |
$2K |
| 90716 |
|
42 |
41 |
$2K |
| 99188 |
|
88 |
85 |
$2K |
| 90670 |
|
55 |
53 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 90656 |
|
56 |
56 |
$1K |
| 3008F |
|
889 |
849 |
$1K |
| 90707 |
|
28 |
28 |
$727.64 |
| 99173 |
|
544 |
536 |
$679.06 |
| 90700 |
|
92 |
83 |
$615.37 |
| 90713 |
|
70 |
66 |
$456.08 |
| 96127 |
|
171 |
169 |
$428.33 |
| 90633 |
|
35 |
34 |
$320.88 |
| 90744 |
|
17 |
14 |
$54.72 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |