| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,419 |
1,310 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,839 |
1,662 |
$97K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
489 |
482 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
387 |
380 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
159 |
158 |
$22K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
60 |
12 |
$16K |
| 99442 |
|
402 |
374 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
451 |
443 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
65 |
64 |
$9K |
| 97802 |
|
1,221 |
1,204 |
$8K |
| 92552 |
|
1,405 |
1,367 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,261 |
1,199 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
529 |
491 |
$2K |
| 90461 |
|
242 |
239 |
$337.22 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
302 |
297 |
$196.14 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
376 |
370 |
$153.05 |
| Q3014 |
Telehealth originating site facility fee |
454 |
414 |
$103.60 |
| 90686 |
|
158 |
155 |
$92.03 |
| 99173 |
|
1,143 |
1,111 |
$0.00 |
| G2010 |
Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment |
58 |
55 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,266 |
1,241 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
501 |
489 |
$0.00 |
| 99174 |
|
194 |
184 |
$0.00 |
| 94761 |
|
16 |
16 |
$0.00 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
39 |
37 |
$0.00 |