| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
913 |
806 |
$75K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
70 |
62 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
43 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 90686 |
|
48 |
48 |
$922.24 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
23 |
22 |
$713.46 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
24 |
$556.00 |
| 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) |
104 |
96 |
$13.11 |
| 99072 |
|
209 |
189 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
35 |
35 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
80 |
76 |
$0.00 |