| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,757 |
4,025 |
$360K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,638 |
2,241 |
$138K |
| 99215 |
Prolong outpt/office vis |
253 |
225 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
187 |
156 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
124 |
113 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
110 |
102 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,253 |
1,909 |
$7K |
| 90688 |
|
418 |
404 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
169 |
82 |
$2K |
| 90670 |
|
52 |
47 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
13 |
$1K |
| 90700 |
|
83 |
81 |
$1K |
| 99000 |
|
317 |
285 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
127 |
69 |
$903.66 |
| 90713 |
|
28 |
27 |
$532.24 |
| 94760 |
|
607 |
491 |
$523.85 |
| 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) |
70 |
59 |
$501.05 |
| 90687 |
|
41 |
39 |
$486.75 |
| 90461 |
|
340 |
310 |
$428.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$398.08 |
| 90647 |
|
25 |
24 |
$318.15 |
| 90680 |
|
13 |
12 |
$241.75 |