| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,779 |
8,405 |
$546K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,886 |
5,770 |
$500K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,308 |
1,308 |
$100K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
982 |
979 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
724 |
701 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
619 |
619 |
$48K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,496 |
2,489 |
$16K |
| 99215 |
Prolong outpt/office vis |
108 |
106 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
157 |
157 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
340 |
330 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,555 |
1,553 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
93 |
93 |
$11K |
| 99406 |
|
300 |
289 |
$3K |
| 99442 |
|
43 |
42 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
28 |
$2K |
| 90756 |
|
112 |
111 |
$2K |
| H0049 |
Alcohol and/or drug screening |
385 |
384 |
$2K |
| 99460 |
|
14 |
14 |
$850.92 |
| 99441 |
|
33 |
33 |
$839.51 |
| 96127 |
|
143 |
143 |
$489.99 |
| 90473 |
|
82 |
82 |
$459.73 |
| 90674 |
|
304 |
303 |
$418.56 |
| 90658 |
|
16 |
16 |
$160.80 |
| 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) |
14 |
14 |
$146.17 |
| 90656 |
|
165 |
165 |
$0.01 |
| 90671 |
|
98 |
98 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90697 |
|
82 |
82 |
$0.00 |
| 90680 |
|
55 |
55 |
$0.00 |
| 90651 |
|
37 |
37 |
$0.00 |
| 90677 |
|
17 |
17 |
$0.00 |