| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,441 |
2,223 |
$128K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
457 |
416 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
512 |
484 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
196 |
187 |
$19K |
| 90688 |
|
204 |
191 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,310 |
1,260 |
$2K |
| 90686 |
|
315 |
309 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
337 |
320 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$1K |
| 90698 |
|
64 |
62 |
$330.36 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
538 |
517 |
$315.68 |
| 90672 |
|
25 |
24 |
$272.60 |
| 85018 |
|
50 |
49 |
$185.00 |
| 90685 |
|
27 |
27 |
$120.93 |
| 90658 |
|
15 |
14 |
$49.46 |
| 96127 |
|
14 |
13 |
$31.15 |
| 90656 |
|
12 |
12 |
$0.04 |
| 90680 |
|
53 |
51 |
$0.00 |
| 90474 |
|
53 |
51 |
$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) |
22 |
18 |
$0.00 |
| 90670 |
|
182 |
177 |
$0.00 |