| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,305 |
2,126 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
433 |
392 |
$38K |
| 99215 |
Prolong outpt/office vis |
107 |
92 |
$17K |
| 90686 |
|
772 |
763 |
$17K |
| 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) |
363 |
321 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$1K |
| 90656 |
|
51 |
51 |
$1K |
| 90688 |
|
50 |
49 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$830.88 |
| 91321 |
|
27 |
27 |
$592.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
28 |
$557.72 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
13 |
$431.04 |
| 90658 |
|
20 |
20 |
$417.14 |
| 92551 |
|
26 |
25 |
$278.85 |
| 36415 |
Collection of venous blood by venipuncture |
47 |
37 |
$54.60 |
| 85027 |
|
15 |
12 |
$35.21 |
| 99173 |
|
13 |
12 |
$33.05 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
45 |
45 |
$26.28 |
| 1159F |
|
329 |
302 |
$0.00 |
| 3078F |
|
13 |
13 |
$0.00 |
| 1111F |
|
331 |
304 |
$0.00 |