| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,923 |
2,199 |
$253K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
816 |
781 |
$66K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
217 |
207 |
$16K |
| 99215 |
Prolong outpt/office vis |
116 |
113 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
44 |
42 |
$3K |
| 81002 |
|
1,762 |
1,267 |
$3K |
| 96127 |
|
560 |
541 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
33 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
27 |
$2K |
| 90674 |
|
82 |
81 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
193 |
184 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
847 |
810 |
$1K |
| 90686 |
|
85 |
85 |
$941.30 |
| 82947 |
|
449 |
435 |
$930.03 |
| 85018 |
|
545 |
527 |
$904.83 |
| 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 |
40 |
37 |
$703.80 |
| 90670 |
|
61 |
59 |
$646.00 |
| 90756 |
|
28 |
28 |
$630.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
906 |
868 |
$221.73 |
| 90647 |
|
15 |
15 |
$162.00 |
| 90689 |
|
44 |
43 |
$146.25 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
429 |
411 |
$117.96 |