| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,216 |
5,782 |
$601K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,029 |
2,651 |
$188K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
426 |
415 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
418 |
367 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
193 |
167 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
133 |
113 |
$13K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
263 |
217 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,239 |
1,136 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
794 |
731 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
152 |
116 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
46 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
383 |
302 |
$1K |
| 99442 |
|
63 |
59 |
$890.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,013 |
404 |
$561.80 |
| 92551 |
|
182 |
158 |
$397.00 |
| 96127 |
|
276 |
227 |
$344.85 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
17 |
13 |
$184.82 |
| 3078F |
|
543 |
472 |
$143.42 |
| 99173 |
|
198 |
173 |
$93.20 |
| 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) |
13 |
12 |
$62.06 |
| 90474 |
|
39 |
39 |
$30.00 |
| 90685 |
|
30 |
29 |
$21.81 |
| 90686 |
|
91 |
90 |
$19.03 |
| 1159F |
|
361 |
304 |
$0.00 |
| 3077F |
|
68 |
63 |
$0.00 |
| 1160F |
|
362 |
305 |
$0.00 |
| 90633 |
|
45 |
45 |
$0.00 |
| 90670 |
|
71 |
70 |
$0.00 |
| 90734 |
|
13 |
12 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
20 |
14 |
$0.00 |
| 3079F |
|
238 |
215 |
$0.00 |
| 1036F |
|
116 |
111 |
$0.00 |
| 3008F |
|
1,364 |
1,156 |
$0.00 |
| 90698 |
|
74 |
72 |
$0.00 |
| 3074F |
|
559 |
496 |
$0.00 |
| 3075F |
|
15 |
13 |
$0.00 |
| 3080F |
|
13 |
12 |
$0.00 |
| 90651 |
|
46 |
46 |
$0.00 |
| 90688 |
|
13 |
13 |
$0.00 |
| 87807 |
|
13 |
12 |
$0.00 |