| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,889 |
12,569 |
$1.95M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,350 |
7,337 |
$1.03M |
| X5622 |
|
467 |
443 |
$95K |
| 99215 |
Prolong outpt/office vis |
589 |
468 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
532 |
477 |
$61K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
118 |
107 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
131 |
128 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
43 |
43 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
38 |
$798.15 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
991 |
927 |
$155.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,779 |
1,662 |
$129.51 |
| 90686 |
|
530 |
509 |
$19.58 |
| 99173 |
|
1,021 |
957 |
$0.36 |
| 92551 |
|
378 |
329 |
$0.28 |
| 99188 |
|
115 |
115 |
$0.08 |
| V5008 |
Hearing screening |
58 |
54 |
$0.00 |
| 96127 |
|
220 |
188 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
750 |
694 |
$0.00 |
| 90651 |
|
30 |
30 |
$0.00 |
| 90674 |
|
25 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
288 |
275 |
$0.00 |
| 90734 |
|
25 |
25 |
$0.00 |
| 90633 |
|
57 |
54 |
$0.00 |
| 90682 |
|
27 |
26 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |