| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,042 |
15,943 |
$518K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,917 |
5,450 |
$300K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,704 |
2,581 |
$191K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,602 |
2,469 |
$169K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,953 |
6,628 |
$120K |
| 87428 |
|
4,171 |
3,947 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
745 |
726 |
$56K |
| 90671 |
|
638 |
571 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,378 |
1,254 |
$27K |
| 90670 |
|
1,234 |
1,182 |
$17K |
| 99188 |
|
1,073 |
1,008 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,641 |
1,547 |
$10K |
| 90461 |
|
4,311 |
3,636 |
$8K |
| 90686 |
|
1,489 |
1,444 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
78 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
461 |
455 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
180 |
166 |
$1K |
| 90698 |
|
821 |
777 |
$1K |
| 85018 |
|
762 |
750 |
$917.71 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$853.49 |
| 90697 |
|
508 |
458 |
$688.68 |
| 0001A |
|
13 |
12 |
$420.00 |
| 92551 |
|
815 |
759 |
$419.36 |
| 81003 |
|
179 |
176 |
$298.06 |
| 87807 |
|
58 |
57 |
$225.23 |
| 90633 |
|
261 |
236 |
$134.70 |
| 90685 |
|
16 |
12 |
$63.00 |
| 90677 |
|
80 |
75 |
$10.50 |
| 90680 |
|
841 |
803 |
$10.00 |
| 3074F |
|
198 |
172 |
$0.00 |
| 36416 |
|
70 |
58 |
$0.00 |
| 94760 |
|
437 |
337 |
$0.00 |
| 90651 |
|
51 |
48 |
$0.00 |
| 88720 |
|
28 |
15 |
$0.00 |
| 90744 |
|
68 |
66 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
2,525 |
2,007 |
$0.00 |
| 99173 |
|
389 |
360 |
$0.00 |
| 99177 |
|
330 |
297 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
629 |
432 |
$0.00 |
| 3078F |
|
222 |
169 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
2,399 |
1,891 |
$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) |
14 |
13 |
$0.00 |