| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,285 |
2,059 |
$123K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,096 |
1,077 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,769 |
2,408 |
$87K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
494 |
478 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
257 |
257 |
$19K |
| 87428 |
|
600 |
577 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,466 |
1,432 |
$12K |
| 92587 |
|
237 |
236 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
942 |
828 |
$2K |
| 99188 |
|
164 |
164 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
171 |
166 |
$885.37 |
| 85018 |
|
1,444 |
1,420 |
$885.04 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$862.69 |
| 81003 |
|
443 |
435 |
$538.36 |
| 90686 |
|
149 |
146 |
$258.72 |
| 90461 |
|
408 |
373 |
$213.96 |
| 90670 |
|
110 |
110 |
$162.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
140 |
126 |
$91.40 |
| 99000 |
|
2,712 |
2,353 |
$0.00 |
| 36416 |
|
1,629 |
1,507 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 94760 |
|
21 |
18 |
$0.00 |
| 96161 |
|
41 |
39 |
$0.00 |
| 92567 |
|
35 |
34 |
$0.00 |
| 99070 |
|
13 |
12 |
$0.00 |
| 96160 |
|
1,185 |
1,053 |
$0.00 |
| 99177 |
|
388 |
351 |
$0.00 |
| 99173 |
|
286 |
252 |
$0.00 |
| 99072 |
|
76 |
73 |
$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) |
59 |
51 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 83655 |
|
18 |
15 |
$0.00 |