| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,660 |
5,869 |
$747K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,520 |
5,145 |
$575K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,871 |
2,437 |
$509K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
566 |
521 |
$99K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
583 |
508 |
$97K |
| 99215 |
Prolong outpt/office vis |
234 |
157 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
219 |
206 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
289 |
222 |
$24K |
| 99443 |
|
67 |
64 |
$11K |
| 99442 |
|
70 |
64 |
$8K |
| 11721 |
|
261 |
226 |
$5K |
| 80305 |
|
189 |
173 |
$4K |
| 11720 |
|
151 |
128 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
34 |
27 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
24 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
13 |
$3K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
122 |
59 |
$2K |
| 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) |
823 |
732 |
$1K |
| 90686 |
|
138 |
121 |
$652.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$384.80 |
| 0004A |
|
15 |
15 |
$369.00 |
| 90670 |
|
154 |
131 |
$304.00 |
| 0072A |
|
16 |
15 |
$287.02 |
| 0054A |
|
14 |
13 |
$287.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
27 |
25 |
$165.16 |
| 92551 |
|
29 |
29 |
$82.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
13 |
$13.60 |
| 91300 |
|
36 |
36 |
$0.00 |
| 90656 |
|
47 |
47 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |