| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,970 |
4,369 |
$243K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,746 |
1,588 |
$80K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
132 |
129 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
81 |
70 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
286 |
267 |
$4K |
| 90461 |
|
125 |
114 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
54 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
474 |
460 |
$2K |
| 90674 |
|
241 |
235 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
156 |
148 |
$2K |
| 90661 |
|
146 |
138 |
$1K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$636.56 |
| 96127 |
|
507 |
347 |
$553.24 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
51 |
$512.16 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
101 |
80 |
$480.12 |
| 90756 |
|
45 |
45 |
$390.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26 |
26 |
$379.78 |
| 81002 |
|
61 |
43 |
$68.04 |
| 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) |
42 |
41 |
$23.22 |
| 3008F |
|
2,737 |
2,359 |
$0.00 |
| 3074F |
|
2,121 |
1,862 |
$0.00 |
| 3080F |
|
617 |
564 |
$0.00 |
| 1034F |
|
391 |
335 |
$0.00 |
| 3075F |
|
669 |
610 |
$0.00 |
| 3079F |
|
1,027 |
924 |
$0.00 |
| 1036F |
|
1,283 |
1,087 |
$0.00 |
| 90677 |
|
14 |
12 |
$0.00 |
| 3077F |
|
565 |
517 |
$0.00 |
| 1159F |
|
2,333 |
2,047 |
$0.00 |
| 1160F |
|
2,346 |
2,058 |
$0.00 |
| 3078F |
|
1,618 |
1,432 |
$0.00 |
| 99177 |
|
12 |
12 |
$0.00 |
| 3288F |
|
13 |
13 |
$0.00 |