| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,203 |
1,185 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,166 |
1,071 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,027 |
1,889 |
$71K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,113 |
1,047 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
364 |
362 |
$32K |
| 99215 |
Prolong outpt/office vis |
63 |
61 |
$5K |
| 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) |
318 |
290 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$3K |
| 90686 |
|
199 |
197 |
$2K |
| 90670 |
|
160 |
158 |
$2K |
| 90723 |
|
149 |
147 |
$2K |
| 90677 |
|
77 |
77 |
$751.30 |
| 90680 |
|
72 |
72 |
$738.40 |
| 90647 |
|
60 |
57 |
$608.80 |
| 92551 |
|
472 |
472 |
$588.17 |
| 90648 |
|
57 |
57 |
$555.60 |
| 90681 |
|
38 |
38 |
$359.90 |
| 99173 |
|
356 |
356 |
$283.15 |
| 90633 |
|
24 |
24 |
$240.20 |
| 83655 |
|
387 |
386 |
$224.46 |
| 90656 |
|
16 |
16 |
$164.80 |
| 90381 |
|
12 |
12 |
$102.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
136 |
134 |
$32.16 |
| 85018 |
|
25 |
25 |
$29.30 |
| 96127 |
|
14 |
14 |
$0.00 |
| 80061 |
Lipid panel |
13 |
13 |
$0.00 |