| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,488 |
1,881 |
$155K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,010 |
1,622 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
390 |
341 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
65 |
58 |
$6K |
| 90686 |
|
315 |
239 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
94 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
41 |
$775.00 |
| 96160 |
|
56 |
38 |
$561.45 |
| 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 |
27 |
17 |
$319.24 |
| 99173 |
|
17 |
13 |
$130.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
13 |
$120.00 |
| 82962 |
|
29 |
26 |
$52.38 |
| 81002 |
|
17 |
12 |
$39.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
13 |
$31.00 |
| 1036F |
|
1,451 |
1,127 |
$0.00 |
| 3017F |
|
376 |
297 |
$0.00 |
| 4004F |
|
90 |
78 |
$0.00 |