| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,764 |
11,826 |
$749K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,425 |
3,744 |
$286K |
| T1015 |
Clinic visit/encounter, all-inclusive |
14,851 |
11,697 |
$159K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
921 |
775 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,496 |
1,310 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
260 |
229 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
240 |
213 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,892 |
1,645 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
196 |
148 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
932 |
794 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
157 |
147 |
$12K |
| 87428 |
|
296 |
246 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
461 |
394 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
182 |
140 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
176 |
77 |
$3K |
| 90686 |
|
282 |
269 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
50 |
50 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
179 |
143 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
87 |
66 |
$1K |
| 81003 |
|
262 |
223 |
$415.65 |
| 90670 |
|
47 |
44 |
$408.53 |
| 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) |
54 |
49 |
$8.43 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
131 |
131 |
$0.00 |
| 99051 |
|
40 |
29 |
$0.00 |
| 90651 |
|
25 |
25 |
$0.00 |
| 90698 |
|
30 |
28 |
$0.00 |