| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,320 |
12,362 |
$989K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,886 |
2,410 |
$136K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,172 |
1,971 |
$130K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
1,783 |
1,643 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
878 |
793 |
$55K |
| 99307 |
|
1,704 |
1,570 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
654 |
606 |
$50K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
968 |
831 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
99 |
95 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
67 |
$7K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
212 |
206 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
33 |
33 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
13 |
$2K |
| 87400 |
|
14 |
14 |
$2K |
| 99305 |
|
68 |
56 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
20 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$2K |
| 99381 |
|
13 |
12 |
$938.40 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
14 |
$921.75 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
84 |
35 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
21 |
17 |
$0.00 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
309 |
270 |
$0.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
87 |
82 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14 |
14 |
$0.00 |
| 99222 |
Initial hospital care, per day, moderate complexity |
22 |
21 |
$0.00 |