| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
858 |
803 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134 |
126 |
$13K |
| 90686 |
|
509 |
498 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
65 |
$9K |
| 90832 |
Psychotherapy, 30 minutes with patient |
67 |
48 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
231 |
224 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
36 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
41 |
39 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
110 |
83 |
$1K |
| 96127 |
|
80 |
64 |
$879.39 |
| 96161 |
|
56 |
54 |
$802.80 |
| 0072A |
|
14 |
14 |
$560.00 |
| 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) |
38 |
35 |
$536.58 |
| 0071A |
|
14 |
14 |
$520.00 |
| 90661 |
|
21 |
18 |
$351.36 |
| 99177 |
|
36 |
36 |
$60.00 |
| 91307 |
|
28 |
23 |
$0.00 |