| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,773 |
5,089 |
$351K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,209 |
2,764 |
$244K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
278 |
260 |
$10K |
| 80305 |
|
316 |
263 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
162 |
162 |
$3K |
| 90686 |
|
126 |
125 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
71 |
66 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,048 |
906 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
54 |
$874.65 |
| 90688 |
|
48 |
48 |
$488.06 |
| 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) |
196 |
165 |
$446.33 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
13 |
12 |
$192.54 |
| 3074F |
|
1,357 |
1,144 |
$3.73 |
| 3078F |
|
1,142 |
959 |
$2.92 |
| 1111F |
|
107 |
99 |
$0.33 |
| 3079F |
|
46 |
40 |
$0.04 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
28 |
26 |
$0.00 |
| 1220F |
|
26 |
24 |
$0.00 |