| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,904 |
2,667 |
$151K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,163 |
1,071 |
$83K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,169 |
3,975 |
$77K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
824 |
793 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
795 |
699 |
$52K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,751 |
1,668 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
220 |
215 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,365 |
1,312 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
235 |
214 |
$9K |
| 92551 |
|
1,892 |
1,792 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
294 |
277 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
173 |
81 |
$2K |
| 90461 |
|
60 |
51 |
$2K |
| 90474 |
|
85 |
80 |
$766.18 |
| 0072A |
|
16 |
15 |
$516.84 |
| 0071A |
|
22 |
12 |
$465.60 |
| 99401 |
|
127 |
113 |
$350.79 |
| 94760 |
|
131 |
116 |
$199.35 |
| 90680 |
|
97 |
92 |
$18.64 |
| 99177 |
|
12 |
12 |
$9.04 |
| 91307 |
|
43 |
31 |
$0.08 |
| 90686 |
|
1,379 |
1,287 |
$0.00 |
| 90723 |
|
114 |
107 |
$0.00 |
| 90656 |
|
65 |
64 |
$0.00 |
| 90648 |
|
453 |
435 |
$0.00 |
| 90670 |
|
556 |
536 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 99173 |
|
205 |
193 |
$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) |
128 |
117 |
$0.00 |
| 90633 |
|
29 |
25 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |