| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,754 |
13,169 |
$1.99M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,489 |
9,655 |
$1.63M |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
3,904 |
2,356 |
$702K |
| X5622 |
|
1,167 |
1,083 |
$239K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
556 |
489 |
$125K |
| 99215 |
Prolong outpt/office vis |
197 |
171 |
$24K |
| 11721 |
|
162 |
128 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
259 |
207 |
$20K |
| 99307 |
|
140 |
107 |
$13K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
119 |
118 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
34 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
96 |
92 |
$6K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
24 |
19 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
143 |
134 |
$3K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
43 |
40 |
$417.40 |
| 90670 |
|
39 |
36 |
$412.85 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
161 |
147 |
$277.14 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,159 |
2,018 |
$237.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,525 |
2,367 |
$206.72 |
| 90686 |
|
534 |
528 |
$57.81 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
14 |
12 |
$44.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
793 |
765 |
$13.04 |
| 99188 |
|
554 |
541 |
$0.44 |
| 99173 |
|
2,173 |
2,027 |
$0.23 |
| 92551 |
|
754 |
688 |
$0.14 |
| 96127 |
|
517 |
465 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,722 |
1,602 |
$0.00 |
| 99484 |
|
130 |
127 |
$0.00 |
| V5008 |
Hearing screening |
388 |
369 |
$0.00 |
| 0001A |
|
117 |
115 |
$0.00 |
| 0002A |
|
128 |
126 |
$0.00 |
| 90633 |
|
36 |
34 |
$0.00 |
| 90682 |
|
13 |
12 |
$0.00 |
| 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 |
382 |
323 |
$0.00 |
| 99490 |
Ccm add 20min |
18 |
18 |
$0.00 |
| 90734 |
|
26 |
24 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |