| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,242 |
22,176 |
$3.85M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,321 |
7,089 |
$1.17M |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
3,702 |
2,964 |
$424K |
| X5622 |
|
1,682 |
1,575 |
$282K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
1,010 |
830 |
$122K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
690 |
663 |
$66K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
200 |
188 |
$30K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
138 |
134 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
136 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
219 |
199 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
301 |
269 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
98 |
86 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
67 |
58 |
$3K |
| 99215 |
Prolong outpt/office vis |
26 |
16 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
178 |
176 |
$3K |
| 99188 |
|
403 |
400 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$240.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,251 |
2,814 |
$174.46 |
| 90686 |
|
839 |
778 |
$141.02 |
| 36415 |
Collection of venous blood by venipuncture |
1,896 |
1,475 |
$103.14 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
847 |
804 |
$0.00 |
| 99173 |
|
1,544 |
1,333 |
$0.00 |
| 0002A |
|
108 |
107 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90670 |
|
32 |
32 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$0.00 |
| 0004A |
|
42 |
42 |
$0.00 |
| 90633 |
|
40 |
40 |
$0.00 |
| 92551 |
|
1,554 |
1,326 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
2,325 |
2,008 |
$0.00 |
| 96127 |
|
2,103 |
1,850 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
796 |
780 |
$0.00 |
| 0001A |
|
138 |
133 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |
| 99441 |
|
20 |
20 |
$0.00 |
| 90674 |
|
101 |
51 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |