| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,461 |
13,629 |
$921K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,890 |
8,808 |
$333K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
1,869 |
1,779 |
$70K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
770 |
716 |
$58K |
| 99307 |
|
1,065 |
1,016 |
$32K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
519 |
487 |
$23K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
427 |
373 |
$13K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
126 |
117 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
244 |
203 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
84 |
83 |
$5K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
142 |
129 |
$3K |
| 90461 |
|
136 |
113 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
168 |
129 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
94 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
27 |
$1K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
31 |
28 |
$570.68 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$477.76 |
| 96127 |
|
32 |
32 |
$117.66 |
| 90686 |
|
56 |
42 |
$0.00 |
| X5622 |
|
58 |
51 |
$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) |
119 |
118 |
$0.00 |