| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,312 |
5,982 |
$315K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,838 |
5,398 |
$200K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
896 |
867 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
512 |
503 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
322 |
303 |
$17K |
| 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) |
1,844 |
1,708 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
199 |
192 |
$12K |
| 90686 |
|
845 |
840 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
297 |
277 |
$5K |
| 92551 |
|
682 |
666 |
$3K |
| G0008 |
Administration of influenza virus vaccine |
192 |
191 |
$2K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
220 |
130 |
$2K |
| 90670 |
|
130 |
130 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
170 |
155 |
$1K |
| 90656 |
|
109 |
109 |
$729.70 |
| 99173 |
|
283 |
282 |
$713.17 |
| 0002A |
|
15 |
15 |
$666.00 |
| 0001A |
|
13 |
13 |
$569.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
39 |
$448.50 |
| 90677 |
|
43 |
39 |
$392.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$380.64 |
| 90723 |
|
29 |
27 |
$241.60 |
| 90734 |
|
27 |
27 |
$219.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$88.44 |
| 90680 |
|
12 |
12 |
$88.40 |
| 90647 |
|
15 |
15 |
$66.60 |
| 99177 |
|
28 |
28 |
$64.60 |
| 80061 |
Lipid panel |
12 |
12 |
$32.20 |
| 3008F |
|
503 |
478 |
$0.00 |
| 91300 |
|
13 |
13 |
$0.00 |
| 99310 |
Prolong nursin fac eval 15m |
16 |
13 |
$0.00 |