| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,375 |
2,007 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,120 |
935 |
$88K |
| 99442 |
|
908 |
778 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
239 |
179 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
167 |
147 |
$12K |
| 0002A |
|
280 |
266 |
$10K |
| 0001A |
|
273 |
251 |
$9K |
| 99215 |
Prolong outpt/office vis |
73 |
56 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
145 |
130 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
74 |
64 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
44 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
70 |
54 |
$3K |
| G2252 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion |
113 |
102 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
816 |
683 |
$2K |
| 80305 |
|
53 |
41 |
$388.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$356.23 |
| 87807 |
|
16 |
13 |
$203.40 |
| 90461 |
|
236 |
204 |
$154.48 |
| 92567 |
|
43 |
42 |
$143.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22 |
19 |
$12.25 |
| 99173 |
|
70 |
69 |
$7.23 |
| 96127 |
|
14 |
14 |
$5.26 |
| 91300 |
|
387 |
322 |
$0.05 |
| 90670 |
|
29 |
24 |
$0.01 |
| 91301 |
|
172 |
142 |
$0.01 |
| 90686 |
|
18 |
14 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |