| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,888 |
15,198 |
$4.33M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,517 |
8,402 |
$2.09M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,055 |
3,371 |
$752K |
| X5622 |
|
2,566 |
2,123 |
$731K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,618 |
1,497 |
$298K |
| 99215 |
Prolong outpt/office vis |
1,013 |
928 |
$205K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
981 |
912 |
$167K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
348 |
326 |
$63K |
| 99442 |
|
130 |
110 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
366 |
273 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
230 |
196 |
$14K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
97 |
64 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
136 |
122 |
$4K |
| 11721 |
|
49 |
41 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
255 |
135 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
18 |
17 |
$794.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,291 |
4,630 |
$479.63 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,549 |
2,352 |
$322.55 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,931 |
1,425 |
$92.56 |
| 0002A |
|
266 |
261 |
$70.69 |
| 92552 |
|
1,525 |
1,199 |
$63.47 |
| 90686 |
|
1,985 |
1,448 |
$58.88 |
| 0001A |
|
306 |
300 |
$47.72 |
| 96127 |
|
1,357 |
807 |
$10.91 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
3,562 |
2,664 |
$2.60 |
| 99173 |
|
1,567 |
1,245 |
$1.25 |
| 99188 |
|
722 |
584 |
$0.61 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
287 |
225 |
$0.25 |
| 91300 |
|
797 |
688 |
$0.18 |
| 90715 |
|
126 |
113 |
$0.00 |
| 90633 |
|
63 |
37 |
$0.00 |
| 90734 |
|
106 |
82 |
$0.00 |
| 90670 |
|
30 |
24 |
$0.00 |
| 0004A |
|
39 |
39 |
$0.00 |
| 90685 |
|
26 |
26 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$0.00 |
| 0071A |
|
30 |
30 |
$0.00 |
| 91301 |
|
30 |
26 |
$0.00 |
| 90651 |
|
122 |
92 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
36 |
$0.00 |
| 91307 |
|
74 |
72 |
$0.00 |
| 0072A |
|
30 |
30 |
$0.00 |
| 90656 |
|
28 |
15 |
$0.00 |