| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,196 |
1,982 |
$133K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,310 |
1,167 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
350 |
348 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,428 |
1,413 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
145 |
145 |
$11K |
| 90480 |
|
105 |
105 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
42 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
190 |
189 |
$2K |
| 0071A |
|
53 |
53 |
$2K |
| 0072A |
|
49 |
49 |
$2K |
| 0111A |
|
12 |
12 |
$456.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$192.76 |
| 91322 |
|
16 |
16 |
$145.92 |
| 96127 |
|
13 |
13 |
$60.12 |
| 90686 |
|
387 |
386 |
$19.58 |
| 99000 |
|
39 |
38 |
$13.67 |
| G9007 |
Coordinated care fee, scheduled team conference |
359 |
271 |
$0.04 |
| 90656 |
|
60 |
60 |
$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) |
12 |
12 |
$0.00 |
| 91311 |
|
44 |
43 |
$0.00 |
| 91321 |
|
40 |
40 |
$0.00 |