| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,294 |
1,129 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,321 |
1,939 |
$66K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
353 |
311 |
$21K |
| 99233 |
Prolong inpt eval add15 m |
237 |
77 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
435 |
408 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
286 |
280 |
$4K |
| 99460 |
|
79 |
72 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
46 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
39 |
$2K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
79 |
27 |
$2K |
| 94726 |
|
184 |
176 |
$2K |
| 94729 |
|
172 |
164 |
$2K |
| 99223 |
Prolong inpt eval add15 m |
55 |
44 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
74 |
$1K |
| 94375 |
|
185 |
176 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
63 |
36 |
$627.45 |
| 92551 |
|
69 |
51 |
$330.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$145.46 |
| G0408 |
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth |
170 |
48 |
$114.24 |
| 99173 |
|
70 |
55 |
$107.73 |
| G0407 |
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth |
47 |
28 |
$25.09 |
| 90723 |
|
44 |
39 |
$0.00 |
| 90670 |
|
229 |
222 |
$0.00 |
| 90648 |
|
135 |
127 |
$0.00 |
| 90681 |
|
41 |
38 |
$0.00 |
| 90473 |
|
46 |
41 |
$0.00 |
| 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 |
20 |
19 |
$0.00 |