| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,180 |
24,824 |
$1.96M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,281 |
9,142 |
$918K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,793 |
5,672 |
$579K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,704 |
2,197 |
$362K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,361 |
2,252 |
$262K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,396 |
1,383 |
$143K |
| 90686 |
|
5,432 |
5,373 |
$114K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,585 |
5,501 |
$80K |
| 90670 |
|
3,912 |
3,852 |
$75K |
| 90698 |
|
3,125 |
3,090 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
522 |
514 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,205 |
1,194 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
753 |
723 |
$35K |
| 90680 |
|
1,415 |
1,399 |
$28K |
| 99493 |
|
216 |
214 |
$28K |
| 90791 |
Psychiatric diagnostic evaluation |
165 |
157 |
$23K |
| 90461 |
|
685 |
682 |
$22K |
| 90677 |
|
766 |
756 |
$16K |
| 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) |
648 |
614 |
$14K |
| 90685 |
|
705 |
693 |
$14K |
| 90656 |
|
544 |
538 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
587 |
486 |
$11K |
| 90697 |
|
460 |
457 |
$10K |
| 90744 |
|
508 |
497 |
$9K |
| 99188 |
|
607 |
606 |
$8K |
| 99173 |
|
2,121 |
2,093 |
$6K |
| 90633 |
|
333 |
329 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
205 |
205 |
$4K |
| D0191 |
|
384 |
377 |
$3K |
| 99484 |
|
42 |
42 |
$3K |
| 99215 |
Prolong outpt/office vis |
17 |
13 |
$3K |
| 90651 |
|
106 |
106 |
$2K |
| 0072A |
|
43 |
43 |
$2K |
| 90734 |
|
68 |
68 |
$1K |
| D1206 |
Topical application of fluoride varnish |
63 |
63 |
$1K |
| 96160 |
|
372 |
368 |
$1K |
| 90480 |
|
26 |
26 |
$1K |
| 0071A |
|
16 |
16 |
$615.20 |
| 83655 |
|
26 |
24 |
$607.90 |
| 0001A |
|
12 |
12 |
$461.40 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$388.96 |
| 85018 |
|
91 |
90 |
$298.50 |
| 90715 |
|
25 |
25 |
$285.48 |
| 90672 |
|
13 |
13 |
$285.48 |
| 91307 |
|
178 |
178 |
$0.51 |
| 36416 |
|
39 |
37 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 90710 |
|
18 |
18 |
$0.00 |
| 90473 |
|
15 |
15 |
$0.00 |
| 90713 |
|
15 |
15 |
$0.00 |
| 90700 |
|
17 |
17 |
$0.00 |