| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,642 |
6,930 |
$1.96M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,515 |
1,448 |
$452K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
256 |
251 |
$84K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
259 |
254 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
44 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
25 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$4K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
4,082 |
3,981 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
12 |
12 |
$108.33 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
529 |
397 |
$22.34 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,220 |
1,190 |
$21.80 |
| 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) |
89 |
86 |
$3.68 |
| 81002 |
|
52 |
51 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 90686 |
|
14 |
14 |
$0.00 |
| 87807 |
|
40 |
40 |
$0.00 |