| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,059 |
8,057 |
$363K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,790 |
1,555 |
$82K |
| T1015 |
Clinic visit/encounter, all-inclusive |
830 |
608 |
$42K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,609 |
1,366 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
130 |
115 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
146 |
131 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
67 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
389 |
329 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
506 |
388 |
$2K |
| 99307 |
|
147 |
131 |
$2K |
| J0702 |
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg |
143 |
122 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
16 |
$1K |
| 90686 |
|
343 |
307 |
$780.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
23 |
19 |
$640.02 |
| 90649 |
|
13 |
12 |
$512.21 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
20 |
14 |
$428.39 |
| 90633 |
|
191 |
153 |
$147.18 |
| 90734 |
|
59 |
46 |
$105.58 |
| 90670 |
|
14 |
13 |
$0.05 |
| 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 |
767 |
394 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
17 |
17 |
$0.00 |