| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,317 |
36,889 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,924 |
15,908 |
$6K |
| 90658 |
|
642 |
642 |
$4K |
| 90651 |
|
505 |
505 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,432 |
14,987 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,112 |
1,109 |
$2K |
| 90670 |
|
386 |
386 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,636 |
1,632 |
$2K |
| 99215 |
Prolong outpt/office vis |
1,468 |
1,388 |
$1K |
| 92551 |
|
5,271 |
5,263 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,546 |
1,544 |
$1K |
| 90734 |
|
423 |
423 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,059 |
7,986 |
$851.28 |
| 90710 |
|
65 |
65 |
$750.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
1,037 |
1,019 |
$660.24 |
| 90698 |
|
156 |
156 |
$554.16 |
| 90723 |
|
12 |
12 |
$307.56 |
| 85018 |
|
5,837 |
5,825 |
$288.48 |
| 90656 |
|
951 |
951 |
$286.07 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
189 |
188 |
$266.16 |
| 90680 |
|
42 |
42 |
$250.29 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,943 |
1,775 |
$214.68 |
| 99201 |
|
178 |
170 |
$148.38 |
| 90715 |
|
148 |
147 |
$126.51 |
| 90633 |
|
248 |
248 |
$107.08 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
104 |
101 |
$101.87 |
| 99382 |
|
12 |
12 |
$93.32 |
| 59425 |
|
182 |
134 |
$90.30 |
| 86580 |
|
1,043 |
1,033 |
$79.92 |
| 90620 |
|
170 |
170 |
$70.68 |
| 90744 |
|
15 |
15 |
$62.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
333 |
332 |
$55.00 |
| 81000 |
|
1,009 |
787 |
$51.42 |
| 82962 |
|
486 |
480 |
$24.00 |
| 90621 |
|
24 |
24 |
$18.00 |
| 81002 |
|
327 |
321 |
$4.26 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,961 |
3,944 |
$0.00 |
| 99173 |
|
2,613 |
2,607 |
$0.00 |
| 90713 |
|
43 |
43 |
$0.00 |
| 90461 |
|
116 |
116 |
$0.00 |
| 90655 |
|
185 |
185 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
41 |
$0.00 |
| 81025 |
|
93 |
91 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
585 |
584 |
$0.00 |
| 90649 |
|
166 |
166 |
$0.00 |
| 90648 |
|
24 |
24 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90700 |
|
150 |
149 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| 83020 |
|
15 |
15 |
$0.00 |
| 90682 |
|
68 |
68 |
$0.00 |
| 3078F |
|
15 |
14 |
$0.00 |
| 90688 |
|
959 |
959 |
$0.00 |
| 90686 |
|
321 |
321 |
$0.00 |
| 93000 |
|
69 |
69 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
90 |
57 |
$0.00 |
| H2000 |
Comprehensive multidisciplinary evaluation |
24 |
24 |
$0.00 |
| 87081 |
|
27 |
27 |
$0.00 |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
122 |
99 |
$0.00 |
| S9445 |
Patient education, not otherwise classified, non-physician provider, individual, per session |
15 |
13 |
$0.00 |
| 99000 |
|
94 |
89 |
$0.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
14 |
$0.00 |
| 90716 |
|
40 |
40 |
$0.00 |
| 59430 |
|
19 |
16 |
$0.00 |
| 90697 |
|
14 |
14 |
$0.00 |
| 90647 |
|
27 |
27 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 88150 |
|
13 |
13 |
$0.00 |
| 99383 |
|
15 |
15 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$0.00 |