| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,484 |
1,282 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
707 |
631 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
707 |
679 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
349 |
302 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
52 |
$4K |
| 0071A |
|
45 |
43 |
$2K |
| 0072A |
|
43 |
40 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
17 |
$1K |
| 92551 |
|
290 |
278 |
$590.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
43 |
40 |
$472.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
106 |
103 |
$332.42 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
26 |
$180.32 |
| 90686 |
|
257 |
249 |
$52.56 |
| 94760 |
|
162 |
129 |
$43.41 |
| 91307 |
|
141 |
130 |
$8.40 |
| 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) |
29 |
26 |
$0.11 |
| 90656 |
|
41 |
41 |
$0.00 |
| 91308 |
|
17 |
16 |
$0.00 |
| 99173 |
|
318 |
301 |
$0.00 |