| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,370 |
17,312 |
$3.75M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,734 |
8,836 |
$1.57M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,267 |
3,149 |
$659K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,111 |
2,083 |
$432K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,083 |
1,024 |
$197K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
655 |
622 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
525 |
515 |
$108K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
525 |
497 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
185 |
179 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
29 |
29 |
$6K |
| 92567 |
|
2,072 |
1,977 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
27 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
169 |
164 |
$5K |
| 69436 |
Tympanostomy (requiring insertion of ventilating tube), general anesthesia |
13 |
13 |
$2K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
74 |
73 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$735.30 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
14 |
12 |
$678.40 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
47 |
36 |
$64.20 |
| 90674 |
|
34 |
32 |
$15.03 |
| 0502F |
|
72 |
54 |
$0.00 |
| 99024 |
|
26 |
26 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
32 |
31 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
138 |
123 |
$0.00 |
| 90686 |
|
162 |
158 |
$0.00 |
| 90656 |
|
65 |
65 |
$0.00 |