| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,289 |
15,691 |
$2.13M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,450 |
3,819 |
$544K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
926 |
752 |
$76K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
277 |
251 |
$20K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
214 |
192 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
203 |
186 |
$11K |
| 90837 |
Psychotherapy, 53 minutes with patient |
41 |
14 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
23 |
13 |
$2K |
| 99307 |
|
12 |
12 |
$410.30 |
| 0124A |
|
24 |
14 |
$250.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,270 |
1,116 |
$235.65 |
| 90686 |
|
919 |
826 |
$215.39 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
62 |
36 |
$58.94 |
| 0001A |
|
138 |
138 |
$57.52 |
| 0002A |
|
96 |
96 |
$43.14 |
| 91300 |
|
330 |
265 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
61 |
60 |
$0.00 |
| 0071A |
|
26 |
24 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
24 |
$0.00 |
| 91312 |
|
24 |
14 |
$0.00 |
| 0011A |
|
25 |
25 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
27 |
27 |
$0.00 |
| 91301 |
|
74 |
74 |
$0.00 |
| 91307 |
|
31 |
24 |
$0.00 |