| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,672 |
4,857 |
$294K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,506 |
1,647 |
$97K |
| 99490 |
Ccm add 20min |
2,100 |
1,641 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
142 |
137 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
71 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$993.20 |
| 36415 |
Collection of venous blood by venipuncture |
787 |
514 |
$768.32 |
| 81003 |
|
358 |
293 |
$639.68 |
| 90756 |
|
99 |
65 |
$384.80 |
| 90734 |
|
30 |
30 |
$367.78 |
| 90651 |
|
34 |
32 |
$344.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
242 |
122 |
$302.73 |
| 85013 |
|
86 |
85 |
$245.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
14 |
$238.40 |
| 99173 |
|
90 |
84 |
$199.96 |
| 90686 |
|
18 |
16 |
$177.24 |
| 90621 |
|
13 |
13 |
$163.05 |
| 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) |
19 |
14 |
$24.64 |
| 90733 |
|
13 |
13 |
$21.24 |
| G0008 |
Administration of influenza virus vaccine |
25 |
21 |
$0.00 |