| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,135 |
5,820 |
$524K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,401 |
5,349 |
$451K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,233 |
1,103 |
$135K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
542 |
533 |
$60K |
| 99215 |
Prolong outpt/office vis |
365 |
317 |
$37K |
| 90832 |
Psychotherapy, 30 minutes with patient |
491 |
352 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,853 |
1,806 |
$20K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
724 |
667 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
119 |
118 |
$13K |
| 90686 |
|
684 |
668 |
$12K |
| 90670 |
|
334 |
326 |
$7K |
| 90791 |
Psychiatric diagnostic evaluation |
33 |
32 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
88 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
104 |
103 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
203 |
200 |
$3K |
| 90656 |
|
87 |
87 |
$2K |
| 90677 |
|
79 |
79 |
$2K |
| 90698 |
|
85 |
82 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 96127 |
|
252 |
248 |
$1K |
| 99484 |
|
30 |
28 |
$1K |
| 90688 |
|
82 |
82 |
$1K |
| 96160 |
|
390 |
376 |
$1K |
| 90680 |
|
51 |
51 |
$1K |
| 92551 |
|
72 |
72 |
$752.37 |
| D0191 |
|
87 |
84 |
$721.50 |
| 90685 |
|
17 |
17 |
$373.32 |
| 90633 |
|
14 |
14 |
$307.44 |
| 99173 |
|
116 |
112 |
$295.86 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$292.50 |
| 90651 |
|
12 |
12 |
$263.52 |
| 90697 |
|
12 |
12 |
$241.56 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
24 |
12 |
$221.55 |
| 90744 |
|
12 |
12 |
$219.60 |
| 91307 |
|
35 |
29 |
$0.20 |
| 90461 |
|
12 |
12 |
$0.00 |