| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,694 |
4,212 |
$211K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,806 |
1,661 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
337 |
334 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
248 |
246 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
724 |
658 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,494 |
1,440 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
140 |
138 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
387 |
379 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
219 |
111 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
27 |
$2K |
| 90686 |
|
852 |
831 |
$1K |
| 92551 |
|
119 |
116 |
$716.31 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
44 |
$538.79 |
| 99173 |
|
17 |
17 |
$29.50 |
| 90651 |
|
15 |
15 |
$0.00 |
| 99051 |
|
129 |
123 |
$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) |
49 |
42 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |