| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,111 |
9,849 |
$881K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,639 |
1,403 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
663 |
647 |
$57K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,339 |
1,196 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
313 |
308 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
287 |
283 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
133 |
131 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
26 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
107 |
48 |
$2K |
| 99442 |
|
12 |
12 |
$436.66 |
| 99441 |
|
19 |
18 |
$379.08 |
| 96127 |
|
348 |
345 |
$88.88 |
| 92551 |
|
825 |
815 |
$0.00 |
| 90651 |
|
41 |
41 |
$0.00 |
| 90723 |
|
131 |
131 |
$0.00 |
| 90647 |
|
141 |
137 |
$0.00 |
| 90657 |
|
14 |
14 |
$0.00 |
| 85018 |
|
14 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |
| 90461 |
|
838 |
823 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,780 |
1,739 |
$0.00 |
| 92081 |
|
866 |
854 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90670 |
|
396 |
388 |
$0.00 |
| 90734 |
|
61 |
59 |
$0.00 |
| 90658 |
|
251 |
244 |
$0.00 |
| 96160 |
|
348 |
344 |
$0.00 |
| 81002 |
|
74 |
67 |
$0.00 |