| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,032 |
5,865 |
$560K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,760 |
1,573 |
$209K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
722 |
593 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
205 |
201 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
99 |
$12K |
| 99215 |
Prolong outpt/office vis |
89 |
73 |
$11K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
74 |
70 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
59 |
$7K |
| 90686 |
|
378 |
362 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
225 |
157 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
187 |
169 |
$2K |
| 99401 |
|
88 |
75 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 96127 |
|
310 |
296 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
64 |
61 |
$1K |
| 99173 |
|
461 |
444 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
123 |
107 |
$829.48 |
| 90651 |
|
15 |
15 |
$634.76 |
| 90734 |
|
15 |
15 |
$302.64 |
| 99050 |
|
23 |
18 |
$234.08 |
| 86580 |
|
31 |
31 |
$226.24 |
| 81002 |
|
72 |
57 |
$180.05 |
| 36415 |
Collection of venous blood by venipuncture |
67 |
65 |
$78.19 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50 |
39 |
$68.61 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
78 |
72 |
$3.00 |
| 90461 |
|
23 |
12 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
21 |
21 |
$0.00 |