Home › Billing code 99213
99213
Doctor's office visit, returning patient (routine)
Official descriptor: Office or other outpatient visit for the evaluation and management of an established patient, low complexity
Medicaid paid $33.00B on code 99213 from 2018 through 2024, to 164,075 providers — the #4 code in the file by dollars.
28Total paid$33.00B
24GClaims764,306,590
Paid per claim line$43.18
33Providers billing it164,075
Box 32 · Location
Where 99213 is billed
The largest of 54 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing 99213
| # | Provider | Location | Claims | Paid on 99213 |
|---|---|---|---|---|
| 1 | City Medical of Upper East Side, PLLC | New York, NY | 2,049,977 | $226.51M |
| 2 | Nationwide Children's Hospital | Columbus, OH | 1,821,214 | $154.78M |
| 3 | Children's Hospital Medical Center of Akron | Akron, OH | 991,232 | $146.97M |
| 4 | Sun River Health INC. | Peekskill, NY | 1,331,305 | $140.89M |
| 5 | Winslow Indian Health Care Center, INC | Winslow, AZ | 227,182 | $120.77M |
| 6 | Southcentral Foundation | Anchorage, AK | 144,968 | $99.58M |
| 7 | Montefiore Medical Center | Bronx, NY | 574,884 | $91.39M |
| 8 | The New York and Presbyterian Hospital | New York, NY | 343,159 | $65.07M |
| 9 | Bronxcare Health System | Bronx, NY | 526,832 | $64.68M |
| 10 | Children's Hospital Medical Center | Cincinnati, OH | 573,206 | $61.84M |
| 11 | Montefiore Medical Center | Bronx, NY | 788,434 | $60.25M |
| 12 | Careconnect Health, INC. | Richland, GA | 543,246 | $59.43M |
| 13 | Boston Medical Center Corporation | Boston, MA | 440,043 | $57.41M |
| 14 | University of Texas Medical Branch at Galveston | Galveston, TX | 708,485 | $56.02M |
| 15 | Optum Medical Care of New Jersey PC | Secaucus, NJ | 919,464 | $54.13M |
| 16 | Medical Associates of Ebnhc | East Boston, MA | 516,080 | $52.93M |
| 17 | Yukon-Kuskokwim Health Corporation | Bethel, AK | 192,348 | $51.25M |
| 18 | Mid Atlantic Pemanente Medical Group | Rockville, MD | 575,655 | $50.80M |
| 19 | Rector & Visitors of the University of Virginia | Charlottesville, VA | 246,914 | $50.68M |
| 20 | Tanana Chiefs Conference | Fairbanks, AK | 89,623 | $50.04M |
| 21 | Premium Health, INC. | Brooklyn, NY | 328,540 | $49.03M |
| 22 | North Shore Lij, Urgent Care, P.C. | Rockville Centre, NY | 251,247 | $48.93M |
| 23 | Baltimore Medical System INC | Baltimore, MD | 223,371 | $47.78M |
| 24 | Cambridge Public Health Commission | Cambridge, MA | 495,297 | $47.72M |
| 25 | Saltzman, Tanis, Pittell, Levin and Jacobson | Hollywood, FL | 1,735,588 | $46.43M |
| 26 | New York Network Ipa INC | Brooklyn, NY | 552,614 | $46.05M |
| 27 | Nextcare Arizona LLC | Tempe, AZ | 435,340 | $45.68M |
| 28 | Banner Urgent Care Services, LLC | Scottsdale, AZ | 507,135 | $45.54M |
| 29 | Community Physicians of Indiana INC | Indianapolis, IN | 888,043 | $44.62M |
| 30 | Iowa Physicians Clinic Medical Foundation | West Des Moines, IA | 1,160,699 | $39.76M |
| 31 | DHHS, PHS, Naihs, Shiprock Hospital | Shiprock, NM | 74,360 | $39.24M |
| 32 | Texas Children's Urgent Care | Houston, TX | 287,665 | $38.74M |
| 33 | Children's Hospital of Wisconsin, INC. | Milwaukee, WI | 355,637 | $38.41M |
| 34 | Waianae District Comprehensive Health and Hospital Board, INC | Waianae, HI | 152,442 | $38.15M |
| 35 | Dayton Children's Hospital | Dayton, OH | 274,996 | $37.78M |
| 36 | Ben Archer Health Center | Hatch, NM | 206,449 | $37.53M |
| 37 | North Shore-Lij Medical PC | Great Neck, NY | 447,693 | $37.02M |
| 38 | Dignity Health | Oxnard, CA | 78,381 | $36.59M |
| 39 | Aizer Health , INC. | Monroe, NY | 504,325 | $35.51M |
| 40 | Zagelbaum, Yechiel | Brooklyn, NY | 419,229 | $35.41M |
| 41 | Denver Health and Hospital Authority | Denver, CO | 255,004 | $35.39M |
| 42 | Wellnow Urgent Care, PC | Liverpool, NY | 538,409 | $34.95M |
| 43 | Refuah Health Center INC | Spring Valley, NY | 885,540 | $34.93M |
| 44 | Lsu Health Sciences Center Shreveport Faculty Group Practice | Shreveport, LA | 558,616 | $34.79M |
| 45 | Optum Medical Care, P.C. | Mount Kisco, NY | 290,515 | $34.38M |
| 46 | Prisma Health University Medical Group | Greenville, SC | 672,376 | $33.86M |
| 47 | Parkview Health System INC | Fort Wayne, IN | 649,830 | $33.28M |
| 48 | Omni Family Health | Bakersfield, CA | 790,010 | $33.09M |
| 49 | Community Urgent Care PC | Brooklyn, NY | 351,902 | $32.80M |
| 50 | Jamaica Hospital | Richmond Hill, NY | 257,044 | $32.10M |
| 51 | Chinatown True Care Medical PLLC | New York, NY | 415,763 | $32.01M |
| 52 | Great Plains Tribal Chairmen's Health Board | Rapid City, SD | 56,634 | $31.95M |
| 53 | Pueblo Community Health Center INC. | Pueblo, CO | 149,645 | $30.39M |
| 54 | Three Lower Counties Community Services, INC. | Princess Anne, MD | 173,237 | $30.08M |
| 55 | Park Nicollet Clinic | St Louis Park, MN | 606,675 | $29.99M |
| 56 | Presbyterian Healthcare Services | Albuquerque, NM | 469,940 | $29.86M |
| 57 | Cumberland Family Medical Center INC | Burkesville, KY | 890,614 | $29.59M |
| 58 | Nyu Langone Hospitals | Brooklyn, NY | 255,935 | $29.29M |
| 59 | Summit Medical Group, INC | Erlanger, KY | 748,404 | $27.40M |
| 60 | Fast Pace Medical Clinic PLLC | Spring Hill, TN | 604,216 | $27.06M |
| 61 | New Horizon Counseling Center INC | South Ozone Park, NY | 282,193 | $26.11M |
| 62 | United Health Services Hospitals, INC. | Binghamton, NY | 230,686 | $25.93M |
| 63 | Privia Medical Group, LLC | Arlington, VA | 446,862 | $25.88M |
| 64 | Kaiser Foundation Health Plan of the Northwest | Portland, OR | 162,406 | $25.66M |
| 65 | Total Health Care INC | Baltimore, MD | 134,670 | $25.45M |
| 66 | Los Angeles County Department of Mental Health | Los Angeles, CA | 54,441 | $25.34M |
| 67 | Charles B. Wang Community Health Center, INC. | New York, NY | 483,157 | $25.22M |
| 68 | Urban Health Plan, INC. | Bronx, NY | 587,475 | $24.80M |
| 69 | Ashland Hospital Corporation | Ashland, KY | 800,710 | $24.50M |
| 70 | New York University | Boynton Beach, FL | 299,441 | $24.42M |
| 71 | Children's Hospital Medical Center of Akron | Akron, OH | 940,012 | $24.29M |
| 72 | Mount Sinai Hospital | New York, NY | 224,175 | $24.19M |
| 73 | Chase Brexton Health Services, INC. | Baltimore, MD | 94,508 | $23.96M |
| 74 | Wake Forest University Health Sciences | Winston Salem, NC | 505,014 | $23.69M |
| 75 | Franciscan Physician Network | Indianapolis, IN | 509,203 | $23.64M |
| 76 | Group Health Plan, INC. | Minneapolis, MN | 497,277 | $23.57M |
| 77 | Ochsner Clinic LLC | New Orleans, LA | 577,204 | $23.00M |
| 78 | Topcare Medical Group INC | Dallas, TX | 853,615 | $23.00M |
| 79 | Oda Primary Health Care Network, INC. | Brooklyn, NY | 549,765 | $22.90M |
| 80 | West Virginia University Medical Corporation | Morgantown, WV | 414,436 | $22.70M |
| 81 | Damian Family Care Centers, INC. | Bronx, NY | 165,901 | $22.67M |
| 82 | Parcare Community Health Network INC | Brooklyn, NY | 169,080 | $22.61M |
| 83 | Bronxcare DR. Martin Luther King JR. Health Center | Bronx, NY | 258,693 | $22.41M |
| 84 | Rochester General Hospital | Rochester, NY | 271,269 | $22.32M |
| 85 | University Primary Care Practices INC | Shaker Heights, OH | 566,890 | $22.20M |
| 86 | Adventist Health System/Sunbelt, INC. | Maitland, FL | 207,463 | $22.13M |
| 87 | Las Cruces Physician Services LLC | Las Cruces, NM | 364,913 | $22.12M |
| 88 | Ahava Medical and Rehabilitation Center, LLC | Brooklyn, NY | 195,263 | $22.05M |
| 89 | Hawaii Permanente Medical Group INC | Honolulu, HI | 146,753 | $22.03M |
| 90 | Barrio Comprehensive Family Health Care Center, INC. | San Antonio, TX | 326,694 | $22.00M |
| 91 | Mary Imogene Bassett Hospital | Cooperstown, NY | 156,914 | $21.99M |
| 92 | Night-Light After Hours Pediatrics PLLC | Sugar Land, TX | 183,619 | $21.85M |
| 93 | Maimonides Medical Center | Brooklyn, NY | 150,495 | $21.76M |
| 94 | Dallas County Hospital District | Dallas, TX | 202,096 | $21.73M |
| 95 | South East Alaska Regional Health Consortium | Juneau, AK | 41,886 | $21.70M |
| 96 | Recover Together, INC. | Greenfield, IN | 342,147 | $21.64M |
| 97 | Healthnet, INC. | Indianapolis, IN | 431,942 | $21.41M |
| 98 | Southcentral Foundation | Wasilla, AK | 37,364 | $21.28M |
| 99 | Ochsner Clinic Foundation | New Orleans, LA | 619,805 | $21.27M |
| 100 | Ohiohealth Corporation | Columbus, OH | 555,567 | $20.96M |