| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,025 |
10,234 |
$787K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,614 |
3,433 |
$366K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
64 |
63 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
672 |
668 |
$4K |
| H0049 |
Alcohol and/or drug screening |
2,494 |
2,486 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
75 |
74 |
$3K |
| 96127 |
|
760 |
748 |
$3K |
| 90688 |
|
110 |
110 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| 99442 |
|
35 |
32 |
$870.44 |
| 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) |
26 |
26 |
$332.55 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$217.30 |
| 90686 |
|
28 |
28 |
$160.24 |
| 99406 |
|
12 |
12 |
$123.98 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
26 |
$97.50 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
6,961 |
6,471 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
3,419 |
3,129 |
$0.00 |