| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,711 |
10,841 |
$566K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
536 |
509 |
$37K |
| 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 |
2,094 |
1,149 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
59 |
57 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
59 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
28 |
26 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
56 |
54 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
301 |
287 |
$2K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
85 |
24 |
$938.13 |
| 0031A |
|
21 |
18 |
$680.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
86 |
83 |
$310.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
398 |
388 |
$248.12 |
| 1126F |
|
1,659 |
1,552 |
$85.37 |
| 36415 |
Collection of venous blood by venipuncture |
271 |
252 |
$65.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
80 |
77 |
$59.56 |
| 99173 |
|
116 |
112 |
$17.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$15.46 |
| 85018 |
|
42 |
42 |
$14.86 |
| 1000F |
|
4,311 |
3,775 |
$13.13 |
| 1036F |
|
2,713 |
2,381 |
$13.10 |
| 3016F |
|
303 |
291 |
$13.07 |
| 81002 |
|
33 |
32 |
$2.09 |
| 3074F |
|
2,578 |
2,410 |
$0.15 |
| 1125F |
|
689 |
634 |
$0.03 |
| 1220F |
|
2,525 |
2,365 |
$0.03 |
| 3078F |
|
2,535 |
2,283 |
$0.01 |
| 1034F |
|
733 |
645 |
$0.00 |
| 3075F |
|
167 |
158 |
$0.00 |
| 3079F |
|
451 |
416 |
$0.00 |
| 92551 |
|
49 |
47 |
$0.00 |
| 36416 |
|
31 |
30 |
$0.00 |
| 1159F |
|
2,938 |
2,696 |
$0.00 |
| 3077F |
|
66 |
58 |
$0.00 |
| 1160F |
|
18 |
17 |
$0.00 |