| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,583 |
20,000 |
$702K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,057 |
1,963 |
$99K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,269 |
3,110 |
$39K |
| 95117 |
|
995 |
374 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
542 |
507 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
524 |
251 |
$7K |
| 90686 |
|
507 |
478 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
52 |
49 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
206 |
189 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$997.15 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$899.96 |
| 87807 |
|
47 |
42 |
$507.78 |
| 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) |
13 |
12 |
$158.88 |
| 90656 |
|
15 |
15 |
$100.79 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
12 |
$35.95 |