| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,611 |
11,060 |
$559K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,169 |
6,228 |
$443K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
875 |
776 |
$37K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,006 |
1,745 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
359 |
347 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
293 |
274 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
855 |
766 |
$11K |
| 99307 |
|
378 |
365 |
$8K |
| Q3014 |
Telehealth originating site facility fee |
884 |
634 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
74 |
70 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
285 |
256 |
$6K |
| 90670 |
|
269 |
249 |
$4K |
| 90686 |
|
544 |
509 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
25 |
24 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
20 |
$2K |
| 11721 |
|
78 |
71 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
41 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
335 |
267 |
$2K |
| 90662 |
|
13 |
13 |
$658.68 |
| 0001A |
|
15 |
15 |
$610.95 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$261.89 |
| 90715 |
|
67 |
59 |
$203.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
42 |
38 |
$200.59 |
| 90698 |
|
209 |
183 |
$94.33 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90619 |
|
15 |
13 |
$0.00 |
| 91300 |
|
34 |
28 |
$0.00 |
| 90734 |
|
79 |
63 |
$0.00 |
| 90685 |
|
25 |
25 |
$0.00 |
| 90710 |
|
28 |
26 |
$0.00 |
| 90633 |
|
41 |
34 |
$0.00 |