| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,271 |
3,807 |
$194K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,095 |
5,247 |
$186K |
| 0012A |
|
66 |
65 |
$2K |
| 0011A |
|
77 |
72 |
$2K |
| 90686 |
|
121 |
116 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
18 |
$862.95 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$666.98 |
| 0064A |
|
16 |
15 |
$572.40 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
16 |
14 |
$282.66 |
| 99441 |
|
35 |
17 |
$188.97 |
| 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) |
396 |
367 |
$0.03 |
| 91301 |
|
176 |
164 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
38 |
$0.00 |
| 91306 |
|
16 |
15 |
$0.00 |