| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47,760 |
38,037 |
$4.49M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,209 |
17,386 |
$1.98M |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,063 |
993 |
$100K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
581 |
574 |
$58K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
492 |
476 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
475 |
429 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
200 |
196 |
$20K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
183 |
170 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
140 |
140 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
374 |
362 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
105 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
37 |
$3K |
| 99000 |
|
1,275 |
1,222 |
$1K |
| 0012A |
|
12 |
12 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
113 |
17 |
$515.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
100 |
63 |
$313.03 |
| 3074F |
|
616 |
484 |
$252.00 |
| 90658 |
|
18 |
18 |
$204.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
510 |
468 |
$164.12 |
| 3078F |
|
484 |
380 |
$126.00 |
| 81025 |
|
62 |
60 |
$111.29 |
| 81002 |
|
83 |
75 |
$104.23 |
| 93000 |
|
14 |
14 |
$104.23 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
15 |
14 |
$76.50 |
| 90700 |
|
15 |
15 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90461 |
|
115 |
115 |
$0.00 |
| 90670 |
|
43 |
43 |
$0.00 |
| 90633 |
|
32 |
32 |
$0.00 |
| 99173 |
|
39 |
39 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 3079F |
|
87 |
76 |
$0.00 |
| 3075F |
|
125 |
104 |
$0.00 |
| 3080F |
|
56 |
53 |
$0.00 |
| 90723 |
|
15 |
15 |
$0.00 |
| 0011A |
|
13 |
13 |
$0.00 |
| 90647 |
|
25 |
25 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |