| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,567 |
8,520 |
$319K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,605 |
4,309 |
$209K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,846 |
1,800 |
$163K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,676 |
1,606 |
$135K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,131 |
3,111 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
879 |
834 |
$67K |
| 90461 |
|
3,826 |
2,336 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
285 |
279 |
$14K |
| 99000 |
|
1,381 |
1,321 |
$12K |
| 92567 |
|
660 |
652 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
306 |
298 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
892 |
754 |
$7K |
| 96127 |
|
2,838 |
2,692 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,945 |
2,829 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$893.44 |
| 99406 |
|
100 |
88 |
$846.82 |
| 96160 |
|
441 |
428 |
$300.27 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$192.50 |
| A4614 |
Peak expiratory flow rate meter, hand held |
189 |
186 |
$138.25 |
| 81025 |
|
13 |
13 |
$86.76 |
| 90734 |
|
199 |
195 |
$25.70 |
| 90620 |
|
97 |
97 |
$15.00 |
| 90715 |
|
87 |
84 |
$13.45 |
| 99051 |
|
195 |
189 |
$10.50 |
| 90686 |
|
559 |
548 |
$8.75 |
| 90633 |
|
44 |
44 |
$5.60 |
| 90700 |
|
32 |
29 |
$5.60 |
| 90710 |
|
33 |
30 |
$5.55 |
| 90696 |
|
38 |
33 |
$4.90 |
| 90670 |
|
87 |
84 |
$3.15 |
| 90698 |
|
12 |
12 |
$2.45 |
| 90649 |
|
98 |
96 |
$2.10 |
| 90619 |
|
66 |
66 |
$0.46 |
| 90707 |
|
24 |
24 |
$0.35 |
| 90677 |
|
28 |
28 |
$0.14 |
| 90697 |
|
14 |
14 |
$0.13 |
| 90656 |
|
116 |
115 |
$0.12 |
| 99173 |
|
648 |
639 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 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) |
54 |
48 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$0.00 |
| 90651 |
|
73 |
71 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 36416 |
|
27 |
27 |
$0.00 |