| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,339 |
12,720 |
$905K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,034 |
14,072 |
$706K |
| 99215 |
Prolong outpt/office vis |
1,667 |
1,480 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,747 |
1,472 |
$94K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
990 |
928 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
527 |
496 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
739 |
672 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
310 |
287 |
$39K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
459 |
380 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
371 |
348 |
$21K |
| 20610 |
|
304 |
281 |
$20K |
| 97597 |
|
399 |
207 |
$18K |
| 99310 |
Prolong nursin fac eval 15m |
163 |
139 |
$17K |
| 99243 |
|
215 |
176 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
196 |
183 |
$11K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
345 |
324 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
146 |
124 |
$7K |
| 90674 |
|
591 |
535 |
$6K |
| 0002A |
|
128 |
126 |
$5K |
| 90837 |
Psychotherapy, 53 minutes with patient |
63 |
42 |
$5K |
| 90677 |
|
227 |
215 |
$4K |
| 0001A |
|
98 |
98 |
$4K |
| 90670 |
|
497 |
440 |
$4K |
| 99442 |
|
236 |
205 |
$3K |
| M0243 |
Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring |
13 |
12 |
$3K |
| 90697 |
|
270 |
239 |
$3K |
| 90680 |
|
213 |
186 |
$2K |
| 0003A |
|
74 |
63 |
$2K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
97 |
95 |
$1K |
| 92567 |
|
56 |
44 |
$834.73 |
| 99383 |
|
12 |
12 |
$731.76 |
| 92002 |
|
16 |
13 |
$607.06 |
| 11721 |
|
31 |
31 |
$479.60 |
| 90686 |
|
164 |
151 |
$470.56 |
| 99443 |
|
30 |
16 |
$313.88 |
| 90633 |
|
29 |
28 |
$273.62 |
| 90651 |
|
15 |
15 |
$260.40 |
| Q3014 |
Telehealth originating site facility fee |
98 |
74 |
$257.22 |
| 90734 |
|
27 |
27 |
$206.43 |
| 90710 |
|
13 |
12 |
$182.70 |
| 90698 |
|
67 |
56 |
$178.63 |
| 90744 |
|
28 |
27 |
$87.26 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
290 |
255 |
$55.68 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
136 |
128 |
$53.60 |
| 90700 |
|
12 |
12 |
$37.21 |
| A0390 |
Als mileage (per mile) |
81 |
63 |
$0.00 |
| 0124A |
|
14 |
12 |
$0.00 |
| 92134 |
|
25 |
13 |
$0.00 |
| G0127 |
Trimming of dystrophic nails, any number |
12 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
237 |
222 |
$0.00 |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
77 |
59 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
70 |
60 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
18 |
$0.00 |