| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,541 |
4,042 |
$314K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,920 |
3,632 |
$194K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,164 |
1,117 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,047 |
932 |
$66K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,491 |
2,360 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
367 |
360 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,475 |
1,387 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$884.71 |
| 90686 |
|
356 |
343 |
$659.43 |
| 87428 |
|
14 |
12 |
$572.31 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
314 |
197 |
$561.97 |
| 90656 |
|
42 |
40 |
$299.65 |
| 90474 |
|
86 |
85 |
$274.65 |
| 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) |
154 |
151 |
$208.53 |
| 90670 |
|
274 |
251 |
$129.47 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
74 |
72 |
$99.04 |
| 90680 |
|
100 |
99 |
$0.00 |
| 90647 |
|
253 |
243 |
$0.00 |
| 90677 |
|
172 |
170 |
$0.00 |
| 90723 |
|
249 |
243 |
$0.00 |
| 90633 |
|
72 |
67 |
$0.00 |
| 99177 |
|
12 |
12 |
$0.00 |