| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,016 |
19,033 |
$3.25M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,757 |
9,004 |
$1.28M |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,258 |
562 |
$179K |
| X5622 |
|
126 |
98 |
$23K |
| 99307 |
|
37 |
36 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
24 |
15 |
$1K |
| 11721 |
|
18 |
12 |
$879.34 |
| 90686 |
|
2,067 |
1,446 |
$762.81 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,179 |
1,589 |
$304.97 |
| G0008 |
Administration of influenza virus vaccine |
252 |
143 |
$301.58 |
| 36415 |
Collection of venous blood by venipuncture |
3,045 |
2,166 |
$230.94 |
| 90670 |
|
96 |
64 |
$226.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
256 |
195 |
$161.58 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
12 |
$149.32 |
| 90723 |
|
26 |
25 |
$81.70 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
130 |
95 |
$80.94 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
241 |
163 |
$33.52 |
| 90656 |
|
108 |
74 |
$20.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
39 |
$12.34 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
41 |
23 |
$9.05 |
| 96127 |
|
1,902 |
1,227 |
$8.29 |
| 92551 |
|
260 |
154 |
$0.02 |
| 99173 |
|
248 |
151 |
$0.02 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
51 |
26 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
437 |
226 |
$0.00 |
| 0001A |
|
52 |
49 |
$0.00 |
| 0002A |
|
48 |
48 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
607 |
391 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
14 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
94 |
83 |
$0.00 |
| 90461 |
|
165 |
117 |
$0.00 |
| 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) |
70 |
67 |
$0.00 |
| 99188 |
|
115 |
68 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
53 |
$0.00 |
| 0004A |
|
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
14 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
64 |
26 |
$0.00 |