| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,504 |
7,195 |
$245K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,654 |
2,369 |
$161K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,819 |
3,773 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,649 |
1,496 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,389 |
1,269 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,479 |
1,231 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
865 |
765 |
$49K |
| 92552 |
|
3,385 |
3,071 |
$37K |
| 99402 |
|
466 |
444 |
$15K |
| 90658 |
|
1,056 |
896 |
$2K |
| 90633 |
|
123 |
91 |
$1K |
| 81025 |
|
252 |
204 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
156 |
135 |
$1K |
| 81002 |
|
517 |
418 |
$1K |
| 90670 |
|
460 |
364 |
$1K |
| 90698 |
|
153 |
127 |
$680.00 |
| 90734 |
|
133 |
107 |
$177.12 |
| 99401 |
|
16 |
13 |
$110.08 |
| 90744 |
|
99 |
91 |
$83.50 |
| 90649 |
|
46 |
36 |
$50.00 |
| 90681 |
|
12 |
12 |
$10.50 |
| 90657 |
|
57 |
40 |
$10.00 |
| 90715 |
|
39 |
29 |
$10.00 |
| 90696 |
|
18 |
13 |
$0.00 |
| 90677 |
|
44 |
42 |
$0.00 |
| 90619 |
|
13 |
13 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
475 |
453 |
$0.00 |
| 90710 |
|
18 |
13 |
$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) |
27 |
25 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
23 |
$0.00 |