| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,160 |
1,087 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,128 |
1,079 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
418 |
413 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
258 |
233 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,369 |
628 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
155 |
154 |
$16K |
| 90461 |
|
434 |
363 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
82 |
$8K |
| 99050 |
|
223 |
213 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
528 |
521 |
$5K |
| 87428 |
|
61 |
61 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
179 |
108 |
$2K |
| 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) |
158 |
155 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
152 |
143 |
$2K |
| 0001A |
|
29 |
24 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
35 |
$674.07 |
| 96127 |
|
116 |
105 |
$362.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
12 |
$348.24 |
| 96160 |
|
87 |
84 |
$308.81 |
| 86756 |
|
14 |
14 |
$153.54 |
| 96161 |
|
40 |
37 |
$146.64 |
| 90686 |
|
147 |
146 |
$71.50 |
| 99000 |
|
23 |
23 |
$59.00 |