| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,996 |
5,677 |
$492K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
884 |
793 |
$99K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
720 |
700 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
631 |
613 |
$71K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
299 |
298 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
622 |
567 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
423 |
405 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
633 |
602 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
207 |
206 |
$6K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
529 |
473 |
$5K |
| 99072 |
|
348 |
315 |
$3K |
| 86580 |
|
148 |
137 |
$747.52 |
| 92552 |
|
1,366 |
1,331 |
$651.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23 |
23 |
$61.96 |
| 81002 |
|
52 |
51 |
$35.50 |
| 90461 |
|
16 |
16 |
$33.08 |
| 99173 |
|
1,385 |
1,352 |
$4.56 |
| 90698 |
|
277 |
265 |
$0.00 |
| 90744 |
|
81 |
74 |
$0.00 |
| 90651 |
|
121 |
118 |
$0.00 |
| 90716 |
|
109 |
107 |
$0.00 |
| 90680 |
|
154 |
146 |
$0.00 |
| 90700 |
|
70 |
68 |
$0.00 |
| 90633 |
|
59 |
59 |
$0.00 |
| 90707 |
|
121 |
119 |
$0.00 |
| 90670 |
|
435 |
418 |
$0.00 |
| 90658 |
|
252 |
246 |
$0.00 |
| 90715 |
|
14 |
12 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |