| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
35,827 |
25,658 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,893 |
2,500 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
838 |
717 |
$42K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
284 |
242 |
$10K |
| 0001A |
|
117 |
112 |
$5K |
| 0002A |
|
85 |
83 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
13 |
$1K |
| 96127 |
|
298 |
202 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
31 |
$904.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
43 |
$858.90 |
| 99443 |
|
21 |
20 |
$798.80 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$767.04 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$572.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
67 |
54 |
$538.22 |
| 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) |
278 |
250 |
$461.81 |
| 90686 |
|
199 |
170 |
$430.30 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
24 |
$339.12 |
| 90688 |
|
30 |
27 |
$46.41 |
| 92551 |
|
155 |
129 |
$27.00 |
| 99173 |
|
170 |
142 |
$26.00 |
| 91301 |
|
15 |
12 |
$0.00 |
| 91300 |
|
315 |
278 |
$0.00 |