| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,981 |
13,859 |
$2.14M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,411 |
1,259 |
$200K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
265 |
263 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
301 |
274 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
251 |
236 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
70 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
73 |
72 |
$7K |
| 90686 |
|
494 |
490 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$3K |
| 90670 |
|
69 |
69 |
$1K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
41 |
30 |
$1K |
| 90723 |
|
53 |
53 |
$679.40 |
| 90647 |
|
38 |
38 |
$500.74 |
| 90651 |
|
16 |
16 |
$237.02 |
| 90734 |
|
12 |
12 |
$183.62 |
| 90633 |
|
12 |
12 |
$155.72 |
| 90677 |
|
12 |
12 |
$131.70 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
13 |
$0.00 |