| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,871 |
10,971 |
$669K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,551 |
7,041 |
$544K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
657 |
624 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
904 |
441 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
767 |
720 |
$10K |
| 87428 |
|
51 |
50 |
$3K |
| 87430 |
|
215 |
208 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,162 |
1,111 |
$2K |
| 90686 |
|
386 |
367 |
$2K |
| 90461 |
|
106 |
93 |
$2K |
| 87400 |
|
74 |
36 |
$734.66 |
| 99442 |
|
26 |
24 |
$688.45 |
| G9153 |
Mapcp demonstration - physician incentive pool |
12 |
12 |
$495.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
29 |
$373.83 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
51 |
50 |
$337.80 |
| 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) |
39 |
33 |
$0.00 |