| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,961 |
18,704 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
579 |
515 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
264 |
240 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,848 |
2,611 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
243 |
243 |
$5K |
| 92551 |
|
1,164 |
1,163 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
245 |
243 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
993 |
992 |
$3K |
| 0003A |
|
117 |
99 |
$2K |
| 90686 |
|
309 |
309 |
$1K |
| 85018 |
|
1,371 |
1,329 |
$1K |
| 0071A |
|
43 |
40 |
$960.00 |
| 2001F |
|
10,705 |
8,591 |
$865.76 |
| 0001A |
|
34 |
31 |
$760.00 |
| 99173 |
|
815 |
815 |
$741.74 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
44 |
$507.71 |
| 3008F |
|
10,489 |
8,416 |
$453.37 |
| 99000 |
|
2,650 |
2,468 |
$397.11 |
| 0002A |
|
21 |
17 |
$240.00 |
| 1160F |
|
5,128 |
4,211 |
$193.00 |
| 81000 |
|
471 |
471 |
$191.97 |
| 90734 |
|
99 |
99 |
$162.00 |
| 0072A |
|
34 |
33 |
$160.00 |
| 90688 |
|
85 |
85 |
$124.94 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
42 |
$120.08 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$102.90 |
| 90649 |
|
47 |
47 |
$99.00 |
| 81002 |
|
30 |
30 |
$77.40 |
| 90715 |
|
46 |
46 |
$72.00 |
| 85014 |
|
25 |
25 |
$42.93 |
| 36415 |
Collection of venous blood by venipuncture |
2,886 |
2,736 |
$36.00 |
| 3074F |
|
2,477 |
2,085 |
$32.00 |
| 3078F |
|
2,457 |
2,071 |
$27.00 |
| 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) |
17 |
16 |
$6.98 |
| 3077F |
|
246 |
219 |
$0.00 |
| 81003 |
|
33 |
33 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
24 |
24 |
$0.00 |
| 0124A |
|
12 |
12 |
$0.00 |
| 3075F |
|
384 |
350 |
$0.00 |
| 3044F |
|
178 |
162 |
$0.00 |
| 3079F |
|
553 |
492 |
$0.00 |
| 99441 |
|
75 |
69 |
$0.00 |