| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,972 |
1,769 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,299 |
1,111 |
$60K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,232 |
1,156 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
273 |
254 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
200 |
191 |
$15K |
| 87428 |
|
65 |
61 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
31 |
$1K |
| 90686 |
|
339 |
321 |
$1K |
| 90671 |
|
15 |
13 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
126 |
126 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$909.70 |
| 90461 |
|
382 |
332 |
$301.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$125.08 |
| 92551 |
|
137 |
128 |
$82.70 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
73 |
65 |
$0.00 |
| 99173 |
|
34 |
29 |
$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) |
58 |
49 |
$0.00 |
| 90670 |
|
84 |
80 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
105 |
92 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
22 |
18 |
$0.00 |
| 90698 |
|
28 |
28 |
$0.00 |
| 90680 |
|
14 |
13 |
$0.00 |