| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,451 |
9,029 |
$1.95M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,755 |
1,231 |
$283K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
689 |
550 |
$38K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
118 |
117 |
$24K |
| 99441 |
|
76 |
76 |
$10K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
59 |
58 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
15 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
34 |
29 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
65 |
$4K |
| 99215 |
Prolong outpt/office vis |
24 |
14 |
$4K |
| 91320 |
|
39 |
35 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,671 |
1,349 |
$1K |
| 90480 |
|
39 |
35 |
$1K |
| 0124A |
|
21 |
19 |
$606.91 |
| 0064A |
|
41 |
41 |
$557.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
104 |
83 |
$107.60 |
| 90686 |
|
1,212 |
975 |
$19.99 |
| 92551 |
|
302 |
242 |
$0.00 |
| 91307 |
|
25 |
25 |
$0.00 |
| 0011A |
|
61 |
54 |
$0.00 |
| 91301 |
|
145 |
131 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
26 |
$0.00 |
| 90656 |
|
16 |
12 |
$0.00 |
| 90651 |
|
17 |
13 |
$0.00 |
| 91306 |
|
41 |
41 |
$0.00 |
| 0001A |
|
53 |
52 |
$0.00 |
| 0012A |
|
53 |
48 |
$0.00 |
| 99173 |
|
365 |
296 |
$0.00 |
| 0002A |
|
115 |
108 |
$0.00 |
| 91300 |
|
247 |
166 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
86 |
80 |
$0.00 |
| 91312 |
|
19 |
18 |
$0.00 |