| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,730 |
2,687 |
$247K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,732 |
5,479 |
$213K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,027 |
1,994 |
$177K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,220 |
2,162 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,476 |
1,423 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
566 |
559 |
$51K |
| 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) |
1,702 |
1,647 |
$16K |
| 90686 |
|
1,554 |
1,540 |
$14K |
| 90670 |
|
1,130 |
1,120 |
$10K |
| 90723 |
|
879 |
875 |
$8K |
| 90647 |
|
855 |
845 |
$8K |
| 90680 |
|
716 |
713 |
$6K |
| 92551 |
|
2,129 |
2,111 |
$4K |
| 90677 |
|
361 |
356 |
$3K |
| 90633 |
|
340 |
337 |
$3K |
| 90656 |
|
240 |
240 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
83 |
82 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
44 |
44 |
$1K |
| 99173 |
|
1,599 |
1,592 |
$743.93 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
115 |
107 |
$732.52 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
38 |
38 |
$728.60 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$661.86 |
| 96127 |
|
425 |
419 |
$377.83 |
| 90710 |
|
33 |
33 |
$333.50 |
| 90696 |
|
20 |
20 |
$205.10 |
| 90707 |
|
14 |
14 |
$146.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$138.00 |
| 90716 |
|
13 |
13 |
$135.70 |
| 90648 |
|
13 |
13 |
$124.50 |
| 83655 |
|
794 |
786 |
$99.75 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
547 |
525 |
$96.48 |
| 96160 |
|
191 |
191 |
$52.16 |
| 99177 |
|
36 |
36 |
$6.88 |
| 85018 |
|
95 |
95 |
$3.33 |
| 80061 |
Lipid panel |
81 |
81 |
$0.00 |