| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,443 |
9,519 |
$676K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,459 |
3,232 |
$149K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,430 |
1,178 |
$126K |
| 99215 |
Prolong outpt/office vis |
445 |
360 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
233 |
224 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
976 |
920 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
155 |
152 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,728 |
1,365 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
61 |
53 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
50 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
187 |
158 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
41 |
$2K |
| 92587 |
|
17 |
14 |
$495.88 |
| 99050 |
|
17 |
13 |
$116.73 |
| 85018 |
|
226 |
206 |
$47.46 |
| 90686 |
|
2,407 |
2,278 |
$10.00 |
| 81002 |
|
93 |
83 |
$2.44 |
| 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) |
396 |
336 |
$0.00 |
| 90461 |
|
507 |
494 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90656 |
|
190 |
179 |
$0.00 |
| 96127 |
|
26 |
24 |
$0.00 |
| 90620 |
|
50 |
40 |
$0.00 |