| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,868 |
21,197 |
$1.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,013 |
3,220 |
$207K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
345 |
296 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
340 |
299 |
$22K |
| 87631 |
|
64 |
60 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
274 |
173 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
119 |
112 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
50 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
246 |
216 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
14 |
$1K |
| 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) |
2,839 |
2,003 |
$1K |
| 90461 |
|
30 |
25 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
34 |
26 |
$730.00 |
| 0011A |
|
19 |
18 |
$660.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
15 |
$435.12 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
35 |
$194.37 |
| 90656 |
|
22 |
12 |
$136.40 |
| 90633 |
|
37 |
34 |
$77.50 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$44.00 |
| 91301 |
|
19 |
18 |
$0.00 |
| 99000 |
|
17 |
17 |
$0.00 |
| 99386 |
|
14 |
13 |
$0.00 |