| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,327 |
4,179 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,058 |
4,796 |
$169K |
| 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) |
2,251 |
2,142 |
$19K |
| 99215 |
Prolong outpt/office vis |
251 |
245 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
95 |
94 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
85 |
84 |
$7K |
| G0008 |
Administration of influenza virus vaccine |
662 |
658 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
68 |
65 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
42 |
$4K |
| 90686 |
|
629 |
629 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
169 |
165 |
$3K |
| 90677 |
|
120 |
117 |
$2K |
| 90656 |
|
232 |
232 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
74 |
68 |
$843.18 |
| G0009 |
Administration of pneumococcal vaccine |
65 |
65 |
$584.85 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
43 |
27 |
$470.20 |
| 92551 |
|
369 |
364 |
$438.67 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$330.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25 |
25 |
$241.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$225.20 |
| 36415 |
Collection of venous blood by venipuncture |
105 |
93 |
$155.40 |
| 90734 |
|
14 |
14 |
$135.10 |
| G0010 |
Administration of hepatitis b vaccine |
13 |
12 |
$133.90 |
| 90723 |
|
14 |
14 |
$130.80 |
| 99173 |
|
317 |
314 |
$65.55 |
| 3078F |
|
29 |
28 |
$10.00 |
| 90746 |
|
52 |
50 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
15 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 3008F |
|
485 |
456 |
$0.00 |
| 3074F |
|
19 |
19 |
$0.00 |