| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,934 |
3,532 |
$200K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
681 |
677 |
$66K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,110 |
1,443 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
444 |
420 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
307 |
284 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
151 |
151 |
$16K |
| 87428 |
|
197 |
194 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
701 |
504 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
238 |
230 |
$4K |
| 99000 |
|
201 |
192 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
69 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
19 |
$620.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$457.75 |
| 90686 |
|
316 |
313 |
$0.00 |
| 90697 |
|
95 |
92 |
$0.00 |
| 90656 |
|
206 |
206 |
$0.00 |
| 90677 |
|
71 |
69 |
$0.00 |
| 90680 |
|
13 |
12 |
$0.00 |
| 90633 |
|
29 |
29 |
$0.00 |
| 90461 |
|
399 |
346 |
$0.00 |
| 90670 |
|
173 |
170 |
$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) |
104 |
93 |
$0.00 |