| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,205 |
7,219 |
$513K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,088 |
5,370 |
$226K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
530 |
503 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
393 |
366 |
$22K |
| 99215 |
Prolong outpt/office vis |
191 |
171 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
235 |
206 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
208 |
201 |
$12K |
| 90674 |
|
412 |
385 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
84 |
68 |
$4K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
93 |
76 |
$3K |
| 99243 |
|
28 |
28 |
$2K |
| 0012A |
|
54 |
54 |
$2K |
| 0002A |
|
31 |
31 |
$1K |
| 90756 |
|
144 |
127 |
$1K |
| 0001A |
|
28 |
28 |
$1K |
| Q3014 |
Telehealth originating site facility fee |
76 |
52 |
$962.14 |
| 0011A |
|
23 |
23 |
$827.31 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$547.10 |
| 90686 |
|
57 |
48 |
$160.55 |
| 90734 |
|
12 |
12 |
$40.58 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
30 |
28 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
242 |
214 |
$0.00 |
| 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) |
75 |
72 |
$0.00 |