| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,791 |
21,340 |
$2.01M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17,293 |
14,553 |
$1.19M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,265 |
3,633 |
$194K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
12,061 |
10,450 |
$109K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
829 |
698 |
$73K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
501 |
442 |
$51K |
| 99307 |
|
1,688 |
1,273 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
212 |
168 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
57 |
56 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,179 |
3,482 |
$449.90 |
| 92551 |
|
1,058 |
887 |
$294.74 |
| 99173 |
|
1,058 |
885 |
$286.06 |
| 99401 |
|
222 |
204 |
$117.84 |
| 36415 |
Collection of venous blood by venipuncture |
30 |
29 |
$81.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
224 |
193 |
$0.00 |
| 90651 |
|
365 |
284 |
$0.00 |
| 90680 |
|
42 |
40 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
172 |
129 |
$0.00 |
| 85018 |
|
149 |
142 |
$0.00 |
| 90723 |
|
42 |
40 |
$0.00 |
| 90657 |
|
38 |
37 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,769 |
1,475 |
$0.00 |
| 90734 |
|
371 |
294 |
$0.00 |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
624 |
496 |
$0.00 |
| 90648 |
|
169 |
164 |
$0.00 |
| 90658 |
|
1,105 |
988 |
$0.00 |
| 90715 |
|
185 |
132 |
$0.00 |
| 90633 |
|
304 |
273 |
$0.00 |
| 90670 |
|
146 |
140 |
$0.00 |
| J0945 |
Injection, brompheniramine maleate, per 10 mg |
47 |
38 |
$0.00 |
| 90700 |
|
116 |
107 |
$0.00 |
| 90713 |
|
19 |
19 |
$0.00 |
| 81025 |
|
37 |
35 |
$0.00 |
| 90710 |
|
19 |
15 |
$0.00 |
| 90473 |
|
42 |
40 |
$0.00 |