| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
11,486 |
9,698 |
$5.66M |
| Q3014 |
Telehealth originating site facility fee |
5,226 |
4,330 |
$2.81M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
983 |
960 |
$728K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
909 |
890 |
$570K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
658 |
644 |
$428K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,648 |
3,098 |
$343K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
561 |
528 |
$304K |
| 0011A |
|
454 |
454 |
$236K |
| 0012A |
|
432 |
432 |
$223K |
| 0001A |
|
430 |
430 |
$221K |
| 0002A |
|
382 |
382 |
$198K |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,205 |
1,489 |
$176K |
| 0071A |
|
282 |
281 |
$153K |
| 0072A |
|
273 |
273 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
822 |
770 |
$81K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
623 |
524 |
$56K |
| 0064A |
|
102 |
102 |
$53K |
| 0054A |
|
56 |
56 |
$36K |
| 51900 |
|
115 |
69 |
$32K |
| 0124A |
|
31 |
31 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
88 |
87 |
$16K |
| 0004A |
|
27 |
27 |
$14K |
| 0134A |
|
15 |
15 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
13 |
12 |
$939.40 |
| G0008 |
Administration of influenza virus vaccine |
310 |
307 |
$123.24 |
| 90653 |
|
112 |
110 |
$73.60 |
| 90686 |
|
60 |
60 |
$2.87 |
| 90688 |
|
13 |
13 |
$0.00 |
| 90694 |
|
18 |
18 |
$0.00 |