| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,031 |
5,262 |
$364K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
447 |
430 |
$37K |
| 93000 |
|
1,036 |
1,027 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
495 |
488 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
80 |
80 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,500 |
1,469 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
56 |
56 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
4,301 |
4,101 |
$5K |
| 92552 |
|
209 |
209 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
258 |
$3K |
| 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) |
264 |
233 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
61 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$2K |
| 90688 |
|
121 |
121 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 90686 |
|
182 |
182 |
$2K |
| 86580 |
|
255 |
252 |
$2K |
| 90756 |
|
120 |
120 |
$1K |
| 81002 |
|
632 |
624 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
81 |
$545.93 |
| 82270 |
|
222 |
222 |
$445.59 |
| 99173 |
|
133 |
133 |
$291.65 |
| 82947 |
|
107 |
105 |
$227.49 |
| 82962 |
|
122 |
120 |
$226.89 |
| 99000 |
|
3,346 |
3,191 |
$84.76 |
| 85651 |
|
28 |
28 |
$66.52 |
| 82948 |
|
43 |
43 |
$39.05 |