| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 59425 |
|
2,717 |
2,167 |
$167K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,995 |
12,782 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,147 |
24,238 |
$87K |
| 99215 |
Prolong outpt/office vis |
139 |
138 |
$16K |
| 59430 |
|
83 |
80 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
493 |
493 |
$3K |
| 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 |
141 |
137 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15,857 |
14,651 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,958 |
10,830 |
$1K |
| 90732 |
|
73 |
72 |
$301.68 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
392 |
392 |
$294.88 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
342 |
332 |
$260.16 |
| 90715 |
|
309 |
308 |
$260.00 |
| 90656 |
|
1,264 |
1,264 |
$171.02 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
201 |
201 |
$68.60 |
| 90686 |
|
3,424 |
3,420 |
$39.36 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,346 |
1,344 |
$35.01 |
| 92551 |
|
1,631 |
1,622 |
$12.24 |
| 81002 |
|
26 |
24 |
$2.15 |
| 11721 |
|
27 |
27 |
$0.73 |
| 81025 |
|
42 |
42 |
$0.00 |
| 90746 |
|
363 |
362 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
253 |
253 |
$0.00 |
| 90633 |
|
329 |
329 |
$0.00 |
| 90658 |
|
114 |
114 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
31 |
$0.00 |
| 90670 |
|
110 |
109 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90651 |
|
92 |
92 |
$0.00 |
| 90647 |
|
25 |
25 |
$0.00 |
| 90723 |
|
28 |
27 |
$0.00 |
| 90688 |
|
98 |
98 |
$0.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$0.00 |