| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,133 |
9,716 |
$509K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,875 |
4,610 |
$164K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,057 |
1,047 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
706 |
696 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
678 |
607 |
$46K |
| 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) |
3,256 |
3,110 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
265 |
260 |
$21K |
| 99215 |
Prolong outpt/office vis |
219 |
213 |
$16K |
| 90686 |
|
1,348 |
1,341 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
294 |
278 |
$5K |
| G0008 |
Administration of influenza virus vaccine |
481 |
477 |
$5K |
| 90670 |
|
375 |
375 |
$3K |
| 90647 |
|
211 |
211 |
$2K |
| 92551 |
|
918 |
903 |
$2K |
| 90723 |
|
185 |
185 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
65 |
57 |
$2K |
| 90680 |
|
178 |
178 |
$2K |
| 90656 |
|
265 |
265 |
$1K |
| 90633 |
|
118 |
118 |
$1K |
| 99177 |
|
594 |
575 |
$711.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
92 |
$686.60 |
| 90715 |
|
41 |
41 |
$437.14 |
| 90677 |
|
134 |
132 |
$242.90 |
| 99173 |
|
261 |
261 |
$179.40 |
| 90734 |
|
15 |
15 |
$136.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
12 |
12 |
$130.89 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
42 |
$80.25 |
| 83655 |
|
124 |
123 |
$34.50 |
| 96127 |
|
27 |
27 |
$27.60 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
87 |
86 |
$16.08 |
| 96160 |
|
12 |
12 |
$4.65 |
| 3008F |
|
26 |
26 |
$0.00 |