| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,518 |
3,895 |
$299K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,701 |
1,475 |
$74K |
| 90686 |
|
480 |
390 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
35 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
29 |
$2K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
111 |
100 |
$2K |
| 99215 |
Prolong outpt/office vis |
22 |
16 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
39 |
$786.86 |
| 0002A |
|
15 |
15 |
$632.10 |
| 90656 |
|
13 |
13 |
$267.81 |
| 81002 |
|
79 |
67 |
$203.53 |
| 36415 |
Collection of venous blood by venipuncture |
948 |
903 |
$149.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
75 |
$0.00 |