| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,707 |
7,531 |
$444K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,476 |
8,418 |
$334K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,042 |
956 |
$72K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
365 |
349 |
$23K |
| 99215 |
Prolong outpt/office vis |
376 |
334 |
$21K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
832 |
750 |
$18K |
| 90837 |
Psychotherapy, 53 minutes with patient |
195 |
123 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
433 |
408 |
$10K |
| 99441 |
|
644 |
579 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
59 |
53 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
49 |
$3K |
| 90686 |
|
252 |
236 |
$2K |
| 99442 |
|
83 |
79 |
$2K |
| 64615 |
|
16 |
13 |
$1K |
| V5266 |
Battery for use in hearing device |
91 |
90 |
$1K |
| 99205 |
Prolong outpt/office vis |
15 |
12 |
$895.72 |
| 95886 |
|
25 |
12 |
$879.20 |
| 20553 |
|
17 |
13 |
$670.66 |
| 0011A |
|
15 |
15 |
$513.02 |
| 0012A |
|
12 |
12 |
$457.92 |
| 64405 |
|
16 |
12 |
$403.13 |
| 36415 |
Collection of venous blood by venipuncture |
911 |
819 |
$5.27 |
| 91301 |
|
65 |
62 |
$1.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
27 |
$0.00 |
| 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) |
87 |
73 |
$0.00 |