| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,326 |
2,033 |
$170K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,065 |
975 |
$115K |
| 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) |
1,572 |
1,325 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
479 |
479 |
$17K |
| 87428 |
|
211 |
209 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
77 |
$7K |
| 99426 |
|
98 |
98 |
$5K |
| 92552 |
|
161 |
161 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
53 |
$4K |
| 96127 |
|
841 |
792 |
$4K |
| 90461 |
|
111 |
111 |
$3K |
| 87634 |
|
54 |
54 |
$3K |
| 99173 |
|
127 |
127 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
27 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
30 |
30 |
$943.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
36 |
$550.55 |
| 90480 |
|
16 |
13 |
$520.00 |
| 99080 |
|
40 |
39 |
$397.70 |
| 36416 |
|
133 |
130 |
$353.71 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
18 |
$256.10 |
| 87807 |
|
16 |
14 |
$183.50 |
| 80061 |
Lipid panel |
12 |
12 |
$144.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$92.48 |
| 90686 |
|
28 |
28 |
$19.37 |
| 90656 |
|
28 |
28 |
$0.00 |