| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,867 |
13,189 |
$2.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,300 |
8,008 |
$1.28M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,425 |
2,424 |
$435K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,400 |
1,375 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,322 |
1,321 |
$103K |
| 99215 |
Prolong outpt/office vis |
202 |
200 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
201 |
201 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,340 |
2,338 |
$22K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
67 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
47 |
47 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
38 |
$6K |
| 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 |
354 |
353 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
97 |
$6K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
131 |
110 |
$5K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
99 |
99 |
$4K |
| 99381 |
|
12 |
12 |
$2K |
| 90474 |
|
296 |
296 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
26 |
26 |
$0.00 |