| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,163 |
1,901 |
$210K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,364 |
1,197 |
$141K |
| 99307 |
|
8,649 |
7,047 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,910 |
4,095 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
792 |
695 |
$80K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,681 |
2,606 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,947 |
1,706 |
$75K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
996 |
891 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
170 |
143 |
$17K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
377 |
333 |
$9K |
| 90686 |
|
130 |
110 |
$2K |
| 99304 |
|
16 |
13 |
$1K |
| 99305 |
|
37 |
37 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
26 |
$176.00 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$114.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
430 |
388 |
$0.00 |