| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,164 |
9,441 |
$1.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,038 |
7,049 |
$1.15M |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,724 |
1,650 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
290 |
269 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
230 |
198 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,165 |
1,074 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
158 |
139 |
$43K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
570 |
486 |
$41K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,510 |
2,099 |
$37K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,365 |
600 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
325 |
227 |
$27K |
| 92551 |
|
769 |
717 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
105 |
89 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
733 |
638 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
200 |
183 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
451 |
401 |
$9K |
| 96127 |
|
197 |
180 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
45 |
40 |
$7K |
| 90686 |
|
1,451 |
1,253 |
$7K |
| 99173 |
|
225 |
214 |
$7K |
| 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) |
885 |
795 |
$5K |
| 90461 |
|
84 |
78 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
134 |
64 |
$3K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
56 |
45 |
$2K |
| 81003 |
|
100 |
83 |
$1K |
| 99307 |
|
82 |
43 |
$907.84 |
| 0072A |
|
33 |
33 |
$516.08 |
| 0071A |
|
34 |
33 |
$515.42 |
| 0002A |
|
13 |
13 |
$506.80 |
| 85018 |
|
12 |
12 |
$189.80 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
32 |
21 |
$139.44 |
| 90480 |
|
16 |
14 |
$90.06 |
| 91307 |
|
69 |
68 |
$0.05 |
| 91300 |
|
17 |
14 |
$0.00 |
| 90670 |
|
62 |
53 |
$0.00 |
| 90685 |
|
52 |
28 |
$0.00 |
| 90648 |
|
32 |
25 |
$0.00 |
| 90656 |
|
45 |
40 |
$0.00 |