| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,308 |
5,604 |
$345K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,035 |
3,838 |
$321K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
509 |
507 |
$43K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
394 |
394 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
411 |
411 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
653 |
648 |
$7K |
| 90688 |
|
343 |
343 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$3K |
| 96127 |
|
901 |
896 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
26 |
$2K |
| 90686 |
|
165 |
165 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 0012A |
|
14 |
14 |
$529.90 |
| 0003A |
|
14 |
14 |
$524.22 |
| 0011A |
|
14 |
14 |
$508.00 |
| 90658 |
|
26 |
26 |
$381.78 |
| 0124A |
|
13 |
13 |
$334.45 |
| 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) |
216 |
206 |
$288.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$154.36 |
| 99051 |
|
12 |
12 |
$40.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 91301 |
|
31 |
30 |
$0.00 |