| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
47,130 |
26,891 |
$290K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
729 |
626 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
215 |
192 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
221 |
90 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
15 |
$2K |
| 87428 |
|
13 |
13 |
$783.08 |
| 92551 |
|
161 |
115 |
$448.60 |
| 96127 |
|
101 |
90 |
$360.67 |
| 99173 |
|
173 |
125 |
$231.35 |
| 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) |
45 |
39 |
$228.22 |
| 90688 |
|
47 |
19 |
$71.55 |
| 90686 |
|
52 |
28 |
$38.65 |
| 1160F |
|
2,476 |
1,686 |
$1.41 |
| 3008F |
|
2,282 |
1,800 |
$0.00 |
| 1126F |
|
595 |
521 |
$0.00 |
| 3074F |
|
1,835 |
1,476 |
$0.00 |
| 3079F |
|
235 |
212 |
$0.00 |
| 3078F |
|
1,304 |
1,051 |
$0.00 |