| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,612 |
5,267 |
$367K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,365 |
1,287 |
$77K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
361 |
324 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
199 |
124 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
109 |
99 |
$4K |
| 90686 |
|
363 |
349 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
69 |
$998.31 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
53 |
52 |
$361.71 |
| 36415 |
Collection of venous blood by venipuncture |
138 |
120 |
$300.26 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$177.72 |
| 81003 |
|
46 |
43 |
$97.64 |
| 90656 |
|
29 |
27 |
$88.99 |
| 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) |
24 |
24 |
$0.00 |