| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22,073 |
18,775 |
$968K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,512 |
7,600 |
$268K |
| 99442 |
|
1,034 |
971 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
326 |
290 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,175 |
951 |
$15K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
687 |
591 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
767 |
627 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
173 |
167 |
$10K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
1,155 |
1,052 |
$9K |
| 99441 |
|
342 |
324 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
103 |
96 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
108 |
93 |
$6K |
| 95117 |
|
329 |
142 |
$4K |
| 90461 |
|
400 |
273 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
81 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
91 |
88 |
$1K |
| 99173 |
|
171 |
157 |
$1K |
| 92552 |
|
146 |
141 |
$1K |
| 99443 |
|
14 |
14 |
$833.31 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$820.37 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
15 |
12 |
$544.00 |
| 90670 |
|
67 |
64 |
$387.75 |
| 90686 |
|
18 |
17 |
$287.39 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
14 |
12 |
$154.80 |
| 90698 |
|
25 |
25 |
$74.10 |
| G0454 |
Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist |
179 |
172 |
$71.58 |
| 96161 |
|
27 |
25 |
$58.56 |
| 96127 |
|
16 |
14 |
$44.07 |
| 90633 |
|
28 |
27 |
$36.80 |
| 1126F |
|
206 |
202 |
$0.49 |
| 3078F |
|
65 |
65 |
$0.17 |
| 1125F |
|
37 |
30 |
$0.10 |