| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,213 |
7,471 |
$496K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,693 |
2,471 |
$242K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,021 |
1,965 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
589 |
567 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
502 |
467 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
364 |
351 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,896 |
1,802 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,464 |
1,355 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
283 |
272 |
$26K |
| 92551 |
|
1,446 |
1,370 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
390 |
360 |
$6K |
| 96127 |
|
409 |
262 |
$6K |
| 0072A |
|
77 |
75 |
$5K |
| 0071A |
|
79 |
73 |
$4K |
| 90686 |
|
1,199 |
1,090 |
$3K |
| 99177 |
|
173 |
169 |
$2K |
| 94760 |
|
578 |
526 |
$1K |
| 90656 |
|
350 |
344 |
$1K |
| 90480 |
|
40 |
40 |
$968.60 |
| 99173 |
|
202 |
193 |
$895.80 |
| 90461 |
|
864 |
842 |
$835.61 |
| 90651 |
|
41 |
40 |
$644.76 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$569.42 |
| 0054A |
|
13 |
13 |
$535.34 |
| 90670 |
|
119 |
117 |
$508.18 |
| 99000 |
|
1,921 |
1,716 |
$291.49 |
| 90698 |
|
94 |
92 |
$247.32 |
| 90680 |
|
74 |
72 |
$216.90 |
| 36416 |
|
856 |
802 |
$174.69 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
15 |
$167.44 |
| 91320 |
|
12 |
12 |
$133.72 |
| 90744 |
|
41 |
40 |
$61.14 |
| 85018 |
|
15 |
12 |
$33.18 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$27.00 |
| 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) |
530 |
493 |
$8.75 |
| 90688 |
|
301 |
293 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 91307 |
|
165 |
146 |
$0.00 |
| 91305 |
|
39 |
39 |
$0.00 |
| 99051 |
|
58 |
56 |
$0.00 |
| 91300 |
|
28 |
26 |
$0.00 |