| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
640 |
559 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
414 |
376 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
131 |
128 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
112 |
111 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
494 |
472 |
$2K |
| 90656 |
|
21 |
21 |
$20.25 |
| 96160 |
|
181 |
117 |
$0.00 |
| 81003 |
|
26 |
26 |
$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) |
182 |
104 |
$0.00 |
| 90670 |
|
41 |
39 |
$0.00 |
| 99173 |
|
31 |
16 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
12 |
$0.00 |
| 90461 |
|
28 |
14 |
$0.00 |
| 99177 |
|
32 |
16 |
$0.00 |
| 99188 |
|
13 |
13 |
$0.00 |
| 36416 |
|
190 |
188 |
$0.00 |
| 85018 |
|
220 |
219 |
$0.00 |
| 90680 |
|
14 |
12 |
$0.00 |
| 99000 |
|
551 |
477 |
$0.00 |
| 87428 |
|
19 |
13 |
$0.00 |
| 90686 |
|
32 |
32 |
$0.00 |
| 92587 |
|
18 |
18 |
$0.00 |
| 96161 |
|
27 |
14 |
$0.00 |