| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,576 |
5,690 |
$363K |
| 99199 |
Unlisted special service, procedure or report |
55,964 |
43,526 |
$236K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
908 |
802 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
932 |
810 |
$28K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
251 |
230 |
$4K |
| 90686 |
|
873 |
801 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
22 |
12 |
$1K |
| 0072A |
|
35 |
21 |
$1K |
| 0071A |
|
56 |
20 |
$1K |
| 90674 |
|
311 |
246 |
$627.44 |
| 90656 |
|
128 |
124 |
$461.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$339.12 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$257.20 |
| 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) |
66 |
59 |
$109.47 |
| 99000 |
|
13 |
12 |
$0.00 |