| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,662 |
28,944 |
$1.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,564 |
6,194 |
$341K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,684 |
1,681 |
$95K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,666 |
1,664 |
$95K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,768 |
1,743 |
$76K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,454 |
1,425 |
$69K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,043 |
1,042 |
$67K |
| 59025 |
Fetal non-stress test |
4,035 |
2,981 |
$66K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
930 |
929 |
$60K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
683 |
681 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,672 |
1,575 |
$28K |
| 98927 |
|
631 |
539 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
177 |
175 |
$13K |
| 98926 |
|
324 |
284 |
$6K |
| 98928 |
|
114 |
102 |
$3K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
50 |
44 |
$3K |
| G9002 |
Coordinated care fee, maintenance rate |
164 |
156 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
199 |
194 |
$770.93 |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$555.77 |
| 92551 |
|
190 |
190 |
$518.40 |
| 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) |
393 |
374 |
$241.58 |
| 99442 |
|
35 |
31 |
$135.11 |
| 98966 |
|
40 |
40 |
$25.01 |
| 96127 |
|
279 |
276 |
$8.94 |
| 98967 |
|
13 |
12 |
$7.00 |
| 99173 |
|
2,159 |
2,142 |
$4.26 |