| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,724 |
4,912 |
$685K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
222 |
194 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
131 |
111 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
79 |
$12K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
594 |
486 |
$7K |
| 99382 |
|
41 |
29 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
30 |
29 |
$4K |
| 99383 |
|
22 |
14 |
$2K |
| 83655 |
|
128 |
100 |
$816.18 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
535 |
238 |
$625.00 |
| 81025 |
|
253 |
223 |
$461.01 |
| 90461 |
|
123 |
83 |
$313.58 |
| 36415 |
Collection of venous blood by venipuncture |
630 |
552 |
$198.81 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
804 |
537 |
$168.35 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
40 |
38 |
$154.63 |
| 36416 |
|
936 |
778 |
$0.00 |
| 3080F |
|
36 |
26 |
$0.00 |
| 3074F |
|
943 |
822 |
$0.00 |
| 3079F |
|
412 |
363 |
$0.00 |
| 3008F |
|
1,852 |
1,579 |
$0.00 |
| 85018 |
|
849 |
704 |
$0.00 |
| 92551 |
|
803 |
671 |
$0.00 |
| 90651 |
|
91 |
62 |
$0.00 |
| 3075F |
|
28 |
26 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
195 |
186 |
$0.00 |
| 1159F |
|
1,492 |
1,296 |
$0.00 |
| 3077F |
|
169 |
156 |
$0.00 |
| 1160F |
|
1,492 |
1,296 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
363 |
324 |
$0.00 |
| 99173 |
|
821 |
687 |
$0.00 |
| 3078F |
|
825 |
715 |
$0.00 |
| 80061 |
Lipid panel |
239 |
208 |
$0.00 |
| 90734 |
|
59 |
44 |
$0.00 |
| 90633 |
|
34 |
24 |
$0.00 |
| 90715 |
|
65 |
51 |
$0.00 |
| 81003 |
|
14 |
13 |
$0.00 |