| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
906 |
840 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
226 |
215 |
$26K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
99 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
74 |
66 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
12 |
$846.72 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$438.06 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
596 |
586 |
$0.00 |
| 1159F |
|
919 |
869 |
$0.00 |
| 90461 |
|
457 |
228 |
$0.00 |
| 90670 |
|
13 |
12 |
$0.00 |
| 3351F |
|
26 |
26 |
$0.00 |
| 4037F |
|
177 |
171 |
$0.00 |
| D1310 |
|
14 |
14 |
$0.00 |
| 1126F |
|
902 |
854 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
62 |
$0.00 |
| 90686 |
|
209 |
203 |
$0.00 |
| 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 |
57 |
51 |
$0.00 |
| 90688 |
|
117 |
116 |
$0.00 |
| 3008F |
|
39 |
39 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
30 |
25 |
$0.00 |