| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,279 |
8,571 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,370 |
3,129 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,747 |
1,727 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,455 |
1,441 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,188 |
1,158 |
$57K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,951 |
5,032 |
$43K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
831 |
826 |
$43K |
| 92081 |
|
3,989 |
3,854 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
422 |
403 |
$10K |
| 99215 |
Prolong outpt/office vis |
230 |
222 |
$7K |
| 90651 |
|
277 |
275 |
$4K |
| S9451 |
Exercise classes, non-physician provider, per session |
1,242 |
1,171 |
$3K |
| 90670 |
|
402 |
388 |
$3K |
| 90461 |
|
1,317 |
1,308 |
$2K |
| 90671 |
|
29 |
29 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
65 |
63 |
$822.72 |
| 99383 |
|
12 |
12 |
$663.08 |
| 92551 |
|
2,808 |
2,779 |
$611.29 |
| 90698 |
|
79 |
79 |
$359.56 |
| 90473 |
|
439 |
417 |
$276.88 |
| 90619 |
|
24 |
24 |
$212.12 |
| 90686 |
|
114 |
112 |
$199.24 |
| G0425 |
Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth |
36 |
32 |
$170.16 |
| 90633 |
|
91 |
90 |
$136.55 |
| 97802 |
|
1,304 |
1,224 |
$109.08 |
| 90734 |
|
72 |
71 |
$80.83 |
| 90658 |
|
37 |
37 |
$76.72 |
| 96127 |
|
253 |
251 |
$28.36 |
| 99173 |
|
22 |
21 |
$14.18 |
| 90474 |
|
80 |
76 |
$0.00 |
| 90677 |
|
55 |
55 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
126 |
126 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90715 |
|
25 |
25 |
$0.00 |