| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,195 |
8,733 |
$629K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
358 |
340 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
281 |
269 |
$28K |
| 90686 |
|
1,667 |
1,650 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
202 |
196 |
$17K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
877 |
807 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
301 |
276 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
40 |
$4K |
| 90656 |
|
149 |
134 |
$2K |
| 90685 |
|
139 |
138 |
$2K |
| 0072A |
|
33 |
33 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 0112A |
|
26 |
26 |
$1K |
| 90480 |
|
34 |
30 |
$983.00 |
| 0111A |
|
18 |
18 |
$732.00 |
| 0071A |
|
15 |
15 |
$618.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
41 |
$601.69 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
37 |
26 |
$516.41 |
| 99173 |
|
251 |
245 |
$403.77 |
| 90670 |
|
24 |
24 |
$303.10 |
| 94760 |
|
407 |
393 |
$143.62 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
784 |
771 |
$110.00 |
| 96127 |
|
15 |
13 |
$75.55 |
| 91307 |
|
86 |
85 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
1,971 |
1,927 |
$0.00 |
| 90461 |
|
83 |
83 |
$0.00 |
| 91311 |
|
74 |
74 |
$0.00 |
| 99072 |
|
272 |
255 |
$0.00 |
| 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) |
84 |
82 |
$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) |
142 |
137 |
$0.00 |