| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,903 |
5,297 |
$381K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,784 |
1,406 |
$136K |
| 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 |
3,691 |
2,851 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
108 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
28 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,932 |
3,130 |
$3K |
| 99383 |
|
16 |
12 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
110 |
92 |
$1K |
| 90674 |
|
157 |
146 |
$524.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
980 |
564 |
$296.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
606 |
498 |
$148.75 |
| 92551 |
|
149 |
125 |
$137.00 |
| 90686 |
|
17 |
17 |
$137.00 |
| 81003 |
|
1,057 |
801 |
$35.03 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
457 |
362 |
$21.44 |
| 1125F |
|
694 |
522 |
$0.00 |
| 36416 |
|
116 |
112 |
$0.00 |
| 3074F |
|
2,148 |
1,665 |
$0.00 |
| 3008F |
|
2,387 |
1,812 |
$0.00 |
| 3079F |
|
536 |
378 |
$0.00 |
| 1126F |
|
1,673 |
1,211 |
$0.00 |
| 1220F |
|
1,610 |
1,067 |
$0.00 |
| 97802 |
|
77 |
51 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
322 |
277 |
$0.00 |
| 1000F |
|
21 |
13 |
$0.00 |
| 1036F |
|
1,390 |
1,050 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
108 |
97 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
73 |
73 |
$0.00 |
| 1170F |
|
100 |
53 |
$0.00 |
| 3048F |
|
45 |
32 |
$0.00 |
| 3075F |
|
118 |
93 |
$0.00 |
| 3044F |
|
106 |
78 |
$0.00 |
| 99000 |
|
27 |
25 |
$0.00 |
| 1034F |
|
22 |
13 |
$0.00 |
| 87807 |
|
13 |
12 |
$0.00 |
| 1160F |
|
2,418 |
1,614 |
$0.00 |
| 80061 |
Lipid panel |
109 |
105 |
$0.00 |
| 1159F |
|
2,916 |
1,885 |
$0.00 |
| 3078F |
|
1,743 |
1,326 |
$0.00 |
| 3288F |
|
148 |
79 |
$0.00 |
| 4004F |
|
124 |
75 |
$0.00 |
| 82947 |
|
12 |
12 |
$0.00 |
| 99173 |
|
166 |
141 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$0.00 |