| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,305 |
2,083 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,544 |
1,370 |
$65K |
| 90686 |
|
254 |
224 |
$4K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
118 |
110 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
51 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
76 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
18 |
$722.12 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
13 |
$224.98 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$161.57 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
126 |
109 |
$0.00 |