| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,115 |
4,546 |
$1.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,363 |
2,177 |
$380K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
201 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
134 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
122 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
533 |
523 |
$2K |
| 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) |
86 |
75 |
$3.28 |
| 90686 |
|
138 |
137 |
$0.00 |
| 90651 |
|
15 |
15 |
$0.00 |
| 90461 |
|
91 |
91 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
70 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
33 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90734 |
|
16 |
16 |
$0.00 |