| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,980 |
6,053 |
$419K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,354 |
6,476 |
$287K |
| 99215 |
Prolong outpt/office vis |
906 |
805 |
$85K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,454 |
1,330 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,377 |
1,324 |
$79K |
| 90834 |
Psychotherapy, 45 minutes with patient |
883 |
520 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
494 |
478 |
$29K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,496 |
934 |
$24K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
150 |
124 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
167 |
150 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
217 |
213 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
265 |
249 |
$11K |
| 92015 |
Determination of refractive state |
944 |
874 |
$8K |
| 0002A |
|
134 |
131 |
$5K |
| 3008F |
|
567 |
545 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
25 |
$5K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
82 |
62 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
85 |
76 |
$3K |
| 90674 |
|
435 |
413 |
$3K |
| 90670 |
|
552 |
511 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
124 |
117 |
$3K |
| 99243 |
|
46 |
41 |
$2K |
| 94010 |
|
165 |
134 |
$2K |
| 0001A |
|
66 |
65 |
$1K |
| 90677 |
|
82 |
79 |
$1K |
| 90661 |
|
45 |
43 |
$799.73 |
| 90680 |
|
126 |
118 |
$678.04 |
| 90633 |
|
86 |
80 |
$646.54 |
| 0031A |
|
17 |
15 |
$541.87 |
| 90686 |
|
169 |
161 |
$522.24 |
| 90651 |
|
52 |
52 |
$499.51 |
| 99459 |
|
20 |
18 |
$205.79 |
| 90698 |
|
52 |
50 |
$155.33 |
| 90710 |
|
14 |
12 |
$37.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
32 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
110 |
107 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
37 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
17 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |