| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,773 |
1,579 |
$113K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
489 |
441 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
308 |
266 |
$24K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
350 |
296 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
119 |
119 |
$9K |
| 93303 |
Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study |
74 |
54 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
253 |
244 |
$4K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
452 |
414 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
89 |
79 |
$2K |
| 99188 |
|
93 |
93 |
$2K |
| 93325 |
|
222 |
155 |
$1K |
| 93320 |
|
75 |
53 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 99243 |
|
13 |
13 |
$775.30 |
| 99177 |
|
137 |
137 |
$441.35 |
| 96127 |
|
53 |
52 |
$277.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
12 |
$119.45 |
| 96161 |
|
43 |
36 |
$90.60 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
18 |
$60.77 |
| 90686 |
|
29 |
29 |
$0.01 |
| 90656 |
|
16 |
15 |
$0.00 |
| 90647 |
|
12 |
12 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 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) |
56 |
53 |
$0.00 |