| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,909 |
1,807 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
668 |
599 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
382 |
372 |
$3K |
| 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 |
15 |
13 |
$3K |
| 0134A |
|
67 |
66 |
$3K |
| 90480 |
|
69 |
67 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
282 |
279 |
$2K |
| 82962 |
|
569 |
550 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$825.72 |
| 0064A |
|
30 |
30 |
$737.91 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$139.72 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$0.00 |
| S9083 |
Global fee urgent care centers |
12 |
12 |
$0.00 |