| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,002 |
9,075 |
$936K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,858 |
5,086 |
$416K |
| 99493 |
|
639 |
580 |
$58K |
| 99215 |
Prolong outpt/office vis |
304 |
211 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
270 |
170 |
$20K |
| T2022 |
Case management, per month |
321 |
288 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
88 |
74 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
594 |
582 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
108 |
70 |
$7K |
| 90686 |
|
378 |
330 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
530 |
428 |
$7K |
| 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 |
202 |
170 |
$6K |
| 96127 |
|
845 |
729 |
$6K |
| 80061 |
Lipid panel |
339 |
311 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
236 |
226 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
38 |
26 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
26 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
245 |
216 |
$3K |
| 0001A |
|
69 |
69 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
103 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
36 |
$2K |
| 0002A |
|
50 |
50 |
$2K |
| 90750 |
|
21 |
13 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
20 |
$1K |
| 99492 |
|
21 |
13 |
$1K |
| 99441 |
|
60 |
37 |
$1K |
| 0071A |
|
25 |
25 |
$1K |
| 0012A |
|
25 |
25 |
$931.79 |
| 0003A |
|
18 |
18 |
$752.41 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
51 |
47 |
$746.28 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
56 |
$685.72 |
| 99442 |
|
22 |
14 |
$584.36 |
| 0072A |
|
13 |
13 |
$524.63 |
| 90688 |
|
18 |
18 |
$360.48 |
| 86703 |
|
13 |
13 |
$185.93 |
| 0011A |
|
12 |
12 |
$180.27 |
| 93000 |
|
12 |
12 |
$143.71 |
| 86580 |
|
17 |
13 |
$103.07 |
| 36415 |
Collection of venous blood by venipuncture |
121 |
110 |
$94.06 |
| 99072 |
|
33 |
31 |
$0.01 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
13 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18 |
17 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |
| 1036F |
|
14 |
13 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
14 |
13 |
$0.00 |