| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
395 |
337 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,164 |
1,056 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
79 |
66 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
47 |
38 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
117 |
105 |
$2K |
| 92551 |
|
116 |
106 |
$1K |
| 90480 |
|
21 |
18 |
$640.00 |
| 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 |
28 |
27 |
$335.16 |
| 99173 |
|
90 |
77 |
$184.25 |
| 90658 |
|
429 |
405 |
$0.06 |
| 90656 |
|
16 |
16 |
$0.00 |