| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,057 |
6,478 |
$623K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,507 |
3,140 |
$221K |
| 99215 |
Prolong outpt/office vis |
1,925 |
1,671 |
$186K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,027 |
742 |
$11K |
| 90686 |
|
521 |
513 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
1,879 |
1,643 |
$9K |
| 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) |
594 |
550 |
$9K |
| D0191 |
|
924 |
901 |
$8K |
| 90832 |
Psychotherapy, 30 minutes with patient |
102 |
79 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
54 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
45 |
$5K |
| 96127 |
|
725 |
698 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
41 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
90 |
89 |
$3K |
| D1206 |
Topical application of fluoride varnish |
180 |
175 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
159 |
85 |
$2K |
| 99173 |
|
686 |
671 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
14 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 90480 |
|
29 |
28 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
72 |
71 |
$1K |
| 90688 |
|
42 |
41 |
$900.44 |
| 90461 |
|
39 |
37 |
$858.00 |
| 96160 |
|
277 |
265 |
$766.90 |
| 90685 |
|
35 |
34 |
$702.84 |
| 99442 |
|
16 |
14 |
$521.65 |
| 99188 |
|
41 |
41 |
$475.38 |
| 0064A |
|
13 |
13 |
$461.40 |
| 90656 |
|
14 |
14 |
$308.00 |
| 90670 |
|
14 |
13 |
$307.44 |
| 90734 |
|
12 |
12 |
$263.52 |
| 91306 |
|
13 |
13 |
$0.11 |
| 91300 |
|
54 |
50 |
$0.00 |