| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,983 |
15,264 |
$390K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,411 |
5,743 |
$91K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
101 |
87 |
$8K |
| 90686 |
|
378 |
372 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
36 |
35 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
138 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
35 |
28 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
225 |
224 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
63 |
$824.02 |
| 0011A |
|
28 |
28 |
$692.07 |
| 0002A |
|
17 |
17 |
$625.60 |
| 96127 |
|
137 |
128 |
$566.60 |
| 0071A |
|
13 |
13 |
$484.80 |
| 99441 |
|
84 |
78 |
$445.16 |
| 0012A |
|
12 |
12 |
$408.00 |
| 90734 |
|
15 |
14 |
$359.73 |
| 90670 |
|
16 |
16 |
$329.40 |
| 90656 |
|
14 |
14 |
$242.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
13 |
$236.40 |
| 81002 |
|
155 |
103 |
$205.73 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
68 |
26 |
$189.89 |
| 99406 |
|
13 |
12 |
$134.53 |
| Q2036 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) |
16 |
16 |
$114.62 |
| 80305 |
|
17 |
16 |
$87.92 |
| 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) |
13 |
12 |
$44.16 |
| T1015 |
Clinic visit/encounter, all-inclusive |
94 |
64 |
$0.00 |