| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,674 |
6,489 |
$1.35M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,868 |
1,748 |
$289K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
823 |
792 |
$167K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
477 |
434 |
$106K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
312 |
307 |
$74K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
170 |
170 |
$42K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
51 |
51 |
$12K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
214 |
206 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
37 |
36 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12 |
12 |
$773.09 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
518 |
502 |
$491.72 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
351 |
345 |
$330.72 |
| 90661 |
|
27 |
27 |
$244.47 |
| 81025 |
|
191 |
155 |
$231.70 |
| 90715 |
|
102 |
102 |
$171.08 |
| 59025 |
Fetal non-stress test |
18 |
13 |
$154.47 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
28 |
26 |
$150.84 |
| 90474 |
|
125 |
123 |
$123.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
178 |
177 |
$14.43 |
| 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) |
30 |
30 |
$2.82 |
| 81002 |
|
129 |
121 |
$0.00 |
| 90461 |
|
274 |
269 |
$0.00 |
| 90633 |
|
51 |
51 |
$0.00 |
| 90670 |
|
186 |
184 |
$0.00 |
| 90671 |
|
46 |
46 |
$0.00 |
| 90710 |
|
53 |
53 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90698 |
|
60 |
59 |
$0.00 |
| 90723 |
|
99 |
98 |
$0.00 |
| 90680 |
|
138 |
136 |
$0.00 |
| 90647 |
|
149 |
148 |
$0.00 |
| 90677 |
|
53 |
52 |
$0.00 |
| 90697 |
|
29 |
29 |
$0.00 |
| 90651 |
|
37 |
37 |
$0.00 |
| 90686 |
|
116 |
114 |
$0.00 |
| 90744 |
|
48 |
47 |
$0.00 |
| 96127 |
|
19 |
18 |
$0.00 |