| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,828 |
13,515 |
$2.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,991 |
2,631 |
$325K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
923 |
842 |
$115K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
498 |
467 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
292 |
274 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
139 |
132 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
57 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
56 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
160 |
140 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
26 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
42 |
40 |
$5K |
| 90670 |
|
162 |
141 |
$305.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
247 |
234 |
$165.97 |
| 90734 |
|
120 |
109 |
$154.95 |
| 36415 |
Collection of venous blood by venipuncture |
92 |
86 |
$148.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
171 |
160 |
$26.80 |
| 90647 |
|
77 |
69 |
$0.00 |
| 90686 |
|
207 |
191 |
$0.00 |
| 90651 |
|
34 |
33 |
$0.00 |
| 90723 |
|
49 |
39 |
$0.00 |
| 90696 |
|
15 |
12 |
$0.00 |
| 90633 |
|
51 |
51 |
$0.00 |
| 90671 |
|
63 |
63 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
479 |
456 |
$0.00 |
| 90710 |
|
29 |
27 |
$0.00 |
| 90715 |
|
61 |
54 |
$0.00 |
| 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 |
16 |
16 |
$0.00 |