| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,786 |
3,934 |
$203K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,491 |
2,870 |
$195K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,267 |
1,992 |
$148K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,833 |
1,610 |
$119K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,367 |
1,174 |
$75K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,102 |
4,603 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
518 |
434 |
$37K |
| 90686 |
|
2,202 |
1,949 |
$28K |
| 90670 |
|
1,198 |
1,114 |
$18K |
| 90698 |
|
869 |
781 |
$13K |
| 99215 |
Prolong outpt/office vis |
121 |
96 |
$13K |
| 96160 |
|
5,580 |
4,785 |
$11K |
| 90680 |
|
709 |
635 |
$11K |
| 92552 |
|
824 |
718 |
$10K |
| 99174 |
|
1,966 |
1,679 |
$8K |
| 96127 |
|
1,982 |
1,506 |
$7K |
| 87428 |
|
82 |
75 |
$5K |
| 90633 |
|
307 |
292 |
$5K |
| 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) |
557 |
354 |
$4K |
| 90744 |
|
281 |
258 |
$4K |
| 90716 |
|
167 |
150 |
$3K |
| 90707 |
|
182 |
165 |
$3K |
| 90677 |
|
179 |
123 |
$2K |
| 90656 |
|
124 |
120 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
52 |
$2K |
| 83655 |
|
282 |
263 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
115 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
642 |
560 |
$1K |
| 99051 |
|
232 |
215 |
$1K |
| 0072A |
|
37 |
36 |
$1K |
| 88738 |
|
557 |
494 |
$1K |
| 99173 |
|
1,900 |
1,634 |
$821.27 |
| 0071A |
|
16 |
16 |
$520.00 |
| 94760 |
|
359 |
266 |
$318.94 |
| 90734 |
|
27 |
26 |
$242.77 |
| 90651 |
|
54 |
24 |
$110.35 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,968 |
5,206 |
$15.48 |
| 96161 |
|
12 |
12 |
$12.48 |
| 90461 |
|
3,049 |
2,645 |
$11.67 |
| 99000 |
|
171 |
164 |
$8.40 |
| 90685 |
|
14 |
14 |
$8.00 |
| 91307 |
|
94 |
82 |
$0.17 |
| 91308 |
|
13 |
13 |
$0.06 |
| 3008F |
|
3,499 |
2,957 |
$0.00 |
| 87999 |
|
956 |
844 |
$0.00 |
| 99072 |
|
1,265 |
1,138 |
$0.00 |