| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,802 |
11,910 |
$2.65M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,302 |
2,196 |
$522K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,268 |
1,256 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
224 |
224 |
$57K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
201 |
187 |
$52K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
132 |
132 |
$30K |
| 87428 |
|
316 |
313 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
464 |
464 |
$8K |
| 80305 |
|
843 |
822 |
$8K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
184 |
184 |
$5K |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
148 |
101 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
39 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
16 |
$974.29 |
| 87807 |
|
59 |
59 |
$699.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
17 |
17 |
$404.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$205.80 |
| 90686 |
|
15 |
15 |
$19.22 |
| 90670 |
|
56 |
56 |
$0.00 |