| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,640 |
5,743 |
$441K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
811 |
691 |
$80K |
| 96160 |
|
2,928 |
2,044 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,401 |
1,131 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
865 |
820 |
$20K |
| 96127 |
|
364 |
333 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
51 |
$6K |
| 99051 |
|
287 |
265 |
$2K |
| 99173 |
|
232 |
215 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 99177 |
|
40 |
37 |
$700.00 |
| 90686 |
|
1,255 |
1,177 |
$304.54 |
| 99050 |
|
12 |
12 |
$142.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$91.60 |
| 90674 |
|
290 |
267 |
$66.45 |
| 90688 |
|
73 |
68 |
$0.20 |
| 90656 |
|
227 |
214 |
$0.00 |
| 99000 |
|
14 |
13 |
$0.00 |
| 99072 |
|
96 |
90 |
$0.00 |
| 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) |
471 |
370 |
$0.00 |
| 90685 |
|
18 |
16 |
$0.00 |
| 90461 |
|
13 |
12 |
$0.00 |