| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,136 |
2,773 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,420 |
1,358 |
$104K |
| 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 |
1,430 |
1,243 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
207 |
203 |
$8K |
| 96127 |
|
1,392 |
1,322 |
$6K |
| 99385 |
|
53 |
53 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
675 |
649 |
$5K |
| 99386 |
|
29 |
27 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
30 |
$2K |
| 99383 |
|
27 |
27 |
$2K |
| 3044F |
|
267 |
261 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
942 |
898 |
$2K |
| 3074F |
|
152 |
146 |
$1K |
| 3078F |
|
143 |
142 |
$950.00 |
| 3079F |
|
98 |
93 |
$900.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$850.71 |
| 92551 |
|
80 |
80 |
$816.46 |
| 3077F |
|
110 |
107 |
$800.00 |
| 3080F |
|
94 |
90 |
$725.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
71 |
69 |
$649.84 |
| 3075F |
|
60 |
59 |
$550.00 |
| 85018 |
|
174 |
170 |
$388.73 |
| 3046F |
|
44 |
42 |
$350.00 |
| 82962 |
|
149 |
144 |
$300.44 |
| 99173 |
|
116 |
114 |
$274.23 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
55 |
54 |
$228.60 |
| 3051F |
|
25 |
25 |
$210.00 |
| 81003 |
|
140 |
138 |
$208.85 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
182 |
177 |
$69.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
18 |
$27.04 |
| 82270 |
|
13 |
12 |
$25.10 |
| 90461 |
|
12 |
12 |
$13.60 |
| 36416 |
|
65 |
64 |
$0.00 |
| 90688 |
|
16 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
15 |
$0.00 |
| 90686 |
|
20 |
19 |
$0.00 |