| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,771 |
2,311 |
$269K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,137 |
1,028 |
$101K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,121 |
988 |
$67K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,318 |
1,126 |
$62K |
| 99215 |
Prolong outpt/office vis |
296 |
265 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
160 |
154 |
$11K |
| 90461 |
|
167 |
160 |
$8K |
| 99201 |
|
143 |
97 |
$6K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
40 |
32 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
75 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
24 |
24 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
36 |
$813.19 |
| 99441 |
|
37 |
33 |
$525.46 |
| 99442 |
|
13 |
13 |
$372.35 |
| 90686 |
|
64 |
46 |
$128.64 |