| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,716 |
5,992 |
$1.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,269 |
3,712 |
$695K |
| 99442 |
|
114 |
106 |
$30K |
| 99441 |
|
52 |
47 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
44 |
38 |
$9K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
180 |
170 |
$8K |
| 99215 |
Prolong outpt/office vis |
46 |
42 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
16 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
99 |
69 |
$2K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
41 |
31 |
$806.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
323 |
272 |
$709.29 |
| 90686 |
|
65 |
45 |
$367.64 |
| 96127 |
|
14 |
12 |
$37.44 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$16.44 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
21 |
18 |
$0.01 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |