| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,485 |
5,131 |
$165K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,875 |
1,819 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,803 |
1,731 |
$109K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,345 |
1,331 |
$83K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
497 |
495 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,083 |
2,839 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,113 |
3,825 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
186 |
174 |
$12K |
| 99188 |
|
1,791 |
1,751 |
$11K |
| 99385 |
|
152 |
141 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
196 |
178 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
67 |
65 |
$4K |
| 99381 |
|
56 |
54 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
34 |
29 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
64 |
52 |
$1K |
| 99383 |
|
14 |
13 |
$953.09 |
| 90474 |
|
333 |
311 |
$834.00 |
| 99382 |
|
12 |
12 |
$775.36 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
101 |
87 |
$521.74 |
| 85018 |
|
726 |
696 |
$447.30 |
| 90670 |
|
1,784 |
1,637 |
$436.11 |
| 81025 |
|
153 |
147 |
$289.35 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
112 |
100 |
$274.73 |
| 90697 |
|
1,188 |
1,051 |
$270.69 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44 |
44 |
$268.00 |
| 90707 |
|
322 |
284 |
$263.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
14 |
$218.95 |
| 90633 |
|
917 |
807 |
$200.57 |
| 3008F |
|
7,593 |
5,839 |
$186.18 |
| 90700 |
|
141 |
130 |
$174.94 |
| 36415 |
Collection of venous blood by venipuncture |
815 |
718 |
$172.47 |
| 1036F |
|
3,442 |
2,566 |
$161.85 |
| 90716 |
|
288 |
265 |
$129.74 |
| 90710 |
|
116 |
105 |
$112.38 |
| 96127 |
|
475 |
360 |
$72.91 |
| 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 |
94 |
79 |
$65.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$31.82 |
| 83655 |
|
17 |
17 |
$25.50 |
| 90686 |
|
209 |
198 |
$17.97 |
| 3080F |
|
155 |
106 |
$0.00 |
| 3079F |
|
1,352 |
1,016 |
$0.00 |
| 3074F |
|
2,182 |
2,039 |
$0.00 |
| 92551 |
|
2,907 |
2,316 |
$0.00 |
| 36416 |
|
484 |
451 |
$0.00 |
| 90651 |
|
286 |
283 |
$0.00 |
| 3075F |
|
382 |
369 |
$0.00 |
| 1034F |
|
198 |
139 |
$0.00 |
| 1126F |
|
1,019 |
916 |
$0.00 |
| 1125F |
|
167 |
144 |
$0.00 |
| 90723 |
|
200 |
181 |
$0.00 |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
13 |
13 |
$0.00 |
| 94760 |
|
20 |
13 |
$0.00 |
| 90698 |
|
14 |
14 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90648 |
|
406 |
366 |
$0.00 |
| 99173 |
|
2,983 |
2,381 |
$0.00 |
| 1160F |
|
1,841 |
1,675 |
$0.00 |
| 3078F |
|
2,012 |
1,502 |
$0.00 |
| 3725F |
|
2,235 |
1,731 |
$0.00 |
| 90681 |
|
599 |
553 |
$0.00 |
| 3077F |
|
466 |
335 |
$0.00 |
| 1159F |
|
1,871 |
1,706 |
$0.00 |
| 90734 |
|
61 |
61 |
$0.00 |
| 90461 |
|
21 |
20 |
$0.00 |