| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,582 |
12,471 |
$1.19M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,607 |
7,846 |
$566K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
828 |
815 |
$32K |
| 99215 |
Prolong outpt/office vis |
87 |
86 |
$12K |
| 91322 |
|
129 |
104 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
155 |
155 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
693 |
675 |
$10K |
| X5622 |
|
47 |
43 |
$10K |
| 90686 |
|
907 |
880 |
$9K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,166 |
1,144 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
92 |
$8K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
189 |
165 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
26 |
25 |
$5K |
| 0124A |
|
135 |
122 |
$4K |
| 0054A |
|
99 |
98 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
35 |
35 |
$3K |
| 90480 |
|
132 |
125 |
$3K |
| 92551 |
|
254 |
251 |
$2K |
| 99349 |
|
31 |
24 |
$2K |
| 99188 |
|
160 |
160 |
$2K |
| 90656 |
|
87 |
87 |
$2K |
| 90694 |
|
40 |
36 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
101 |
90 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
13 |
$695.93 |
| 90670 |
|
110 |
110 |
$511.46 |
| 90715 |
|
12 |
12 |
$409.68 |
| 99173 |
|
176 |
176 |
$301.87 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
47 |
45 |
$261.26 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
13 |
$191.66 |
| 90651 |
|
13 |
12 |
$0.00 |
| 90723 |
|
27 |
27 |
$0.00 |
| 90647 |
|
14 |
14 |
$0.00 |