| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,190 |
7,526 |
$1.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,830 |
3,710 |
$522K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
568 |
433 |
$68K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
269 |
242 |
$50K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
255 |
237 |
$43K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
966 |
570 |
$41K |
| X5622 |
|
179 |
170 |
$26K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
498 |
338 |
$1K |
| 90686 |
|
648 |
573 |
$381.21 |
| 36415 |
Collection of venous blood by venipuncture |
2,183 |
1,603 |
$168.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,767 |
1,444 |
$158.84 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
669 |
428 |
$116.40 |
| 99188 |
|
57 |
50 |
$109.92 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
412 |
323 |
$82.67 |
| 96127 |
|
1,712 |
1,235 |
$77.22 |
| 92551 |
|
395 |
322 |
$0.18 |
| 99173 |
|
410 |
326 |
$0.18 |
| 99335 |
|
15 |
12 |
$0.00 |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
45 |
40 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
40 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
13 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
28 |
$0.00 |
| 0004A |
|
13 |
13 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$0.00 |