| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
203 |
195 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
142 |
140 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
99 |
99 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
97 |
97 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
56 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
310 |
308 |
$4K |
| 90461 |
|
148 |
148 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
53 |
28 |
$716.87 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$559.13 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
18 |
15 |
$167.76 |
| 99051 |
|
12 |
12 |
$144.00 |
| 83655 |
|
12 |
12 |
$125.88 |
| 85018 |
|
38 |
38 |
$77.90 |
| 90651 |
|
35 |
35 |
$0.00 |
| 90686 |
|
104 |
104 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 90633 |
|
42 |
42 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |