| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,249 |
13,668 |
$734K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,488 |
4,340 |
$150K |
| 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) |
4,248 |
4,068 |
$37K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,871 |
1,771 |
$36K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
598 |
590 |
$18K |
| 90686 |
|
1,658 |
1,645 |
$17K |
| G0008 |
Administration of influenza virus vaccine |
1,619 |
1,591 |
$15K |
| 99215 |
Prolong outpt/office vis |
194 |
190 |
$14K |
| 99310 |
Prolong nursin fac eval 15m |
297 |
154 |
$12K |
| 90750 |
|
95 |
95 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
84 |
84 |
$7K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
289 |
190 |
$6K |
| 97803 |
|
115 |
113 |
$5K |
| 90732 |
|
33 |
33 |
$4K |
| G0010 |
Administration of hepatitis b vaccine |
268 |
268 |
$3K |
| 90715 |
|
81 |
81 |
$3K |
| G0009 |
Administration of pneumococcal vaccine |
236 |
233 |
$2K |
| 97802 |
|
32 |
32 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
97 |
91 |
$2K |
| 90656 |
|
346 |
346 |
$923.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
81 |
78 |
$913.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
71 |
$704.28 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
39 |
38 |
$382.34 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
57 |
56 |
$339.62 |
| 81003 |
|
76 |
75 |
$234.12 |
| 92551 |
|
128 |
127 |
$171.67 |
| 81025 |
|
12 |
12 |
$50.76 |
| 99173 |
|
183 |
180 |
$41.40 |
| 90677 |
|
255 |
248 |
$0.00 |
| 3008F |
|
234 |
229 |
$0.00 |
| 86580 |
|
42 |
37 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
26 |
26 |
$0.00 |
| 90739 |
|
52 |
52 |
$0.00 |
| 90746 |
|
465 |
464 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
29 |
29 |
$0.00 |
| 91320 |
|
12 |
12 |
$0.00 |