| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,694 |
6,192 |
$541K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,458 |
1,234 |
$88K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
482 |
454 |
$36K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
787 |
555 |
$32K |
| W0037 |
|
1,438 |
1,438 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
357 |
322 |
$26K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
149 |
116 |
$6K |
| 90686 |
|
290 |
279 |
$5K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
44 |
42 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
72 |
67 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
74 |
59 |
$2K |
| 99307 |
|
30 |
25 |
$990.40 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$469.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
62 |
57 |
$376.54 |
| 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) |
121 |
102 |
$15.95 |
| 87430 |
|
30 |
25 |
$0.00 |
| 0012A |
|
13 |
13 |
$0.00 |