| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,981 |
10,084 |
$678K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,004 |
6,759 |
$635K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
787 |
779 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
49 |
49 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
275 |
274 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
31 |
$3K |
| 87428 |
|
74 |
74 |
$2K |
| 96127 |
|
465 |
463 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 90682 |
|
38 |
38 |
$2K |
| 90688 |
|
13 |
13 |
$204.61 |
| 90686 |
|
108 |
108 |
$203.59 |
| 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) |
12 |
12 |
$139.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$127.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$47.37 |
| 99072 |
|
166 |
158 |
$0.07 |
| G8484 |
Influenza immunization was not administered, reason not given |
524 |
522 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
257 |
257 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
114 |
114 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
123 |
122 |
$0.00 |
| 91307 |
|
14 |
13 |
$0.00 |