| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,581 |
1,496 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
463 |
430 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
383 |
380 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
360 |
343 |
$30K |
| 90686 |
|
546 |
541 |
$9K |
| 90688 |
|
218 |
215 |
$3K |
| 90670 |
|
187 |
186 |
$2K |
| 90672 |
|
135 |
133 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
104 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
24 |
$1K |
| 90685 |
|
77 |
76 |
$1K |
| 90648 |
|
69 |
68 |
$711.36 |
| 0072A |
|
12 |
12 |
$480.00 |
| 90633 |
|
12 |
12 |
$195.24 |
| 90700 |
|
12 |
12 |
$178.97 |
| 90680 |
|
14 |
14 |
$102.48 |
| 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) |
12 |
12 |
$0.00 |