| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,126 |
5,482 |
$324K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,168 |
2,811 |
$224K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
949 |
904 |
$18K |
| 87428 |
|
170 |
163 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
118 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
226 |
213 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
113 |
107 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
54 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
344 |
319 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
337 |
329 |
$1K |
| 90686 |
|
247 |
231 |
$609.62 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$608.51 |
| 90677 |
|
55 |
55 |
$261.00 |
| 90656 |
|
43 |
41 |
$253.61 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$161.55 |
| 81003 |
|
42 |
39 |
$110.60 |
| 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 |
22 |
$51.04 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |