| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,262 |
1,039 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
370 |
343 |
$30K |
| 99215 |
Prolong outpt/office vis |
421 |
369 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
586 |
530 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
689 |
590 |
$11K |
| 99381 |
|
15 |
15 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
158 |
157 |
$2K |
| 90680 |
|
51 |
51 |
$261.05 |
| 99000 |
|
138 |
128 |
$240.21 |
| 90670 |
|
36 |
36 |
$216.06 |
| 90698 |
|
57 |
57 |
$207.12 |
| 90677 |
|
48 |
47 |
$153.00 |
| 90686 |
|
88 |
87 |
$117.01 |
| 90744 |
|
24 |
24 |
$90.00 |
| 90656 |
|
16 |
16 |
$36.00 |
| 99188 |
|
29 |
27 |
$35.64 |
| 92551 |
|
37 |
37 |
$33.76 |
| 83655 |
|
43 |
41 |
$16.82 |
| 96160 |
|
762 |
384 |
$12.87 |
| 85018 |
|
71 |
68 |
$9.84 |
| 96161 |
|
64 |
62 |
$4.29 |
| 90461 |
|
72 |
67 |
$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) |
209 |
176 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 99072 |
|
149 |
134 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
456 |
303 |
$0.00 |
| 36416 |
|
89 |
76 |
$0.00 |
| S8301 |
Infection control supplies, not otherwise specified |
95 |
87 |
$0.00 |