| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,342 |
6,998 |
$1.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,151 |
1,074 |
$153K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
178 |
153 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
63 |
55 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
77 |
52 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
27 |
$4K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
15 |
15 |
$416.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$312.90 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
24 |
22 |
$42.80 |
| 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 |
41 |
39 |
$0.00 |
| 90686 |
|
27 |
25 |
$0.00 |