| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,422 |
25,279 |
$142K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16,988 |
15,847 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,225 |
10,096 |
$43K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,255 |
1,255 |
$33K |
| 90750 |
|
139 |
139 |
$28K |
| 59425 |
|
479 |
390 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,507 |
1,507 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
991 |
988 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
624 |
620 |
$7K |
| 90732 |
|
226 |
226 |
$6K |
| 92551 |
|
2,385 |
2,372 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,366 |
9,258 |
$5K |
| 99385 |
|
116 |
116 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
444 |
431 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
236 |
236 |
$3K |
| 90715 |
|
640 |
640 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
89 |
$2K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
78 |
78 |
$2K |
| 59430 |
|
13 |
13 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
116 |
116 |
$1K |
| 90656 |
|
991 |
991 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
105 |
100 |
$890.05 |
| 81025 |
|
368 |
366 |
$876.31 |
| 90746 |
|
91 |
91 |
$823.80 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
158 |
158 |
$617.04 |
| 99215 |
Prolong outpt/office vis |
242 |
242 |
$359.78 |
| 99173 |
|
155 |
155 |
$353.28 |
| 90686 |
|
2,624 |
2,620 |
$337.70 |
| 90658 |
|
189 |
189 |
$78.25 |
| 90688 |
|
97 |
97 |
$52.08 |
| 90647 |
|
25 |
25 |
$0.00 |
| 90651 |
|
186 |
186 |
$0.00 |
| 90716 |
|
26 |
26 |
$0.00 |
| 90633 |
|
355 |
355 |
$0.00 |
| 90670 |
|
112 |
111 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |