| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,647 |
20,770 |
$2.74M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,741 |
12,366 |
$1.64M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,274 |
2,805 |
$364K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
994 |
979 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,112 |
1,067 |
$166K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
3,071 |
2,714 |
$129K |
| 99215 |
Prolong outpt/office vis |
1,036 |
785 |
$124K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,000 |
686 |
$76K |
| 90832 |
Psychotherapy, 30 minutes with patient |
621 |
527 |
$46K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
267 |
264 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
126 |
126 |
$20K |
| 90791 |
Psychiatric diagnostic evaluation |
120 |
105 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
60 |
$11K |
| 99406 |
|
334 |
279 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
25 |
$5K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
41 |
25 |
$4K |
| 99205 |
Prolong outpt/office vis |
20 |
20 |
$3K |
| 96127 |
|
637 |
577 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
16 |
13 |
$559.63 |
| 92002 |
|
12 |
12 |
$385.08 |
| 99441 |
|
18 |
17 |
$99.90 |
| 92015 |
Determination of refractive state |
13 |
13 |
$69.55 |
| 11721 |
|
15 |
15 |
$44.82 |
| 3074F |
|
294 |
264 |
$0.00 |
| 3079F |
|
84 |
77 |
$0.00 |
| 3075F |
|
17 |
16 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$0.00 |
| G9920 |
Screening performed and negative |
342 |
326 |
$0.00 |
| 3078F |
|
241 |
218 |
$0.00 |
| 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) |
69 |
69 |
$0.00 |