| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,975 |
10,872 |
$38K |
| 0002A |
|
310 |
299 |
$12K |
| 0001A |
|
321 |
318 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,611 |
1,411 |
$10K |
| 90461 |
|
854 |
782 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,178 |
1,002 |
$9K |
| 0011A |
|
188 |
176 |
$7K |
| 0012A |
|
161 |
159 |
$6K |
| 0004A |
|
164 |
122 |
$4K |
| 99441 |
|
1,312 |
1,134 |
$3K |
| 0064A |
|
100 |
36 |
$2K |
| 99442 |
|
871 |
822 |
$887.58 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,432 |
2,853 |
$883.92 |
| 91307 |
|
43 |
30 |
$880.00 |
| 90686 |
|
1,397 |
1,231 |
$781.88 |
| 0071A |
|
21 |
18 |
$720.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,446 |
2,870 |
$686.84 |
| 0072A |
|
22 |
18 |
$640.00 |
| 90656 |
|
111 |
98 |
$625.06 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
13 |
$492.15 |
| 96127 |
|
3,203 |
2,747 |
$277.10 |
| 1220F |
|
2,975 |
2,535 |
$1.00 |
| 91306 |
|
100 |
36 |
$0.25 |
| 91300 |
|
886 |
812 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 3078F |
|
301 |
272 |
$0.00 |
| 3077F |
|
43 |
43 |
$0.00 |
| 3725F |
|
498 |
403 |
$0.00 |
| 99173 |
|
113 |
102 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
223 |
139 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
14 |
$0.00 |
| 96116 |
|
13 |
13 |
$0.00 |
| 1159F |
|
39 |
39 |
$0.00 |
| 1160F |
|
39 |
39 |
$0.00 |
| 90715 |
|
14 |
13 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 1158F |
|
39 |
38 |
$0.00 |
| 90670 |
|
116 |
110 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
36 |
25 |
$0.00 |
| 90734 |
|
41 |
40 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
15 |
$0.00 |
| 90756 |
|
16 |
13 |
$0.00 |
| 3351F |
|
923 |
776 |
$0.00 |
| 3014F |
|
102 |
99 |
$0.00 |
| 90716 |
|
53 |
47 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
162 |
85 |
$0.00 |
| 90688 |
|
243 |
241 |
$0.00 |
| 91301 |
|
449 |
427 |
$0.00 |
| 3075F |
|
28 |
28 |
$0.00 |
| 3017F |
|
136 |
131 |
$0.00 |
| 1126F |
|
27 |
27 |
$0.00 |
| 1157F |
|
39 |
38 |
$0.00 |
| 3079F |
|
52 |
51 |
$0.00 |
| 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 |
129 |
126 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
56 |
55 |
$0.00 |
| 90651 |
|
117 |
113 |
$0.00 |
| 3074F |
|
129 |
116 |
$0.00 |
| 4010F |
|
27 |
27 |
$0.00 |
| 93000 |
|
14 |
13 |
$0.00 |
| 3061F |
|
14 |
14 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 1170F |
|
13 |
13 |
$0.00 |