| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,149 |
12,439 |
$996K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,005 |
8,145 |
$440K |
| T1015 |
Clinic visit/encounter, all-inclusive |
21,060 |
16,677 |
$247K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
961 |
829 |
$74K |
| 99215 |
Prolong outpt/office vis |
542 |
447 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
486 |
436 |
$40K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
751 |
619 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,114 |
954 |
$10K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
359 |
294 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
439 |
381 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
225 |
186 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
33 |
30 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
30 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
163 |
132 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
18 |
$1K |
| 90670 |
|
320 |
293 |
$637.49 |
| 90686 |
|
103 |
86 |
$383.72 |
| 90648 |
|
164 |
155 |
$292.19 |
| 90723 |
|
37 |
36 |
$51.12 |
| 1126F |
|
689 |
624 |
$0.00 |
| 3074F |
|
1,733 |
1,552 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
16 |
$0.00 |
| 3075F |
|
14 |
13 |
$0.00 |
| 3078F |
|
2,440 |
2,168 |
$0.00 |
| 3077F |
|
18 |
12 |
$0.00 |