| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,524 |
2,241 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,457 |
1,344 |
$93K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
386 |
379 |
$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 |
15 |
12 |
$3K |
| 99442 |
|
16 |
13 |
$463.52 |
| 80061 |
Lipid panel |
13 |
12 |
$364.63 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
26 |
$327.06 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$242.82 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
25 |
$156.84 |
| 90686 |
|
40 |
35 |
$17.75 |