| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
72,499 |
36,111 |
$471K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,495 |
1,184 |
$85K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
605 |
383 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
178 |
131 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
60 |
52 |
$5K |
| 0071A |
|
26 |
18 |
$961.40 |
| 0072A |
|
21 |
14 |
$789.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
26 |
$625.82 |
| 90686 |
|
607 |
434 |
$398.56 |
| 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) |
42 |
40 |
$77.98 |
| 99173 |
|
33 |
24 |
$66.16 |
| 1160F |
|
3,560 |
2,843 |
$0.52 |
| 1159F |
|
3,560 |
2,843 |
$0.52 |
| 3008F |
|
561 |
432 |
$0.06 |
| 99000 |
|
93 |
67 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |
| 90656 |
|
16 |
12 |
$0.00 |
| 3725F |
|
110 |
89 |
$0.00 |
| 99072 |
|
18 |
14 |
$0.00 |