| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,036 |
4,288 |
$69K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,547 |
3,124 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,114 |
5,116 |
$18K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
424 |
409 |
$15K |
| 99441 |
|
1,849 |
1,040 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
404 |
385 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
239 |
229 |
$4K |
| 99072 |
|
758 |
632 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
114 |
106 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
153 |
146 |
$3K |
| 87428 |
|
35 |
27 |
$2K |
| 90480 |
|
20 |
19 |
$698.88 |
| 90461 |
|
317 |
301 |
$283.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
60 |
59 |
$154.05 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
349 |
249 |
$151.28 |
| 86580 |
|
34 |
33 |
$60.98 |
| 90686 |
|
1,045 |
997 |
$22.61 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
12 |
$7.38 |
| 90687 |
|
12 |
12 |
$0.01 |
| 90651 |
|
14 |
14 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
242 |
225 |
$0.00 |
| 90688 |
|
121 |
110 |
$0.00 |