| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,495 |
2,146 |
$157K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,639 |
1,466 |
$112K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
229 |
203 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$2K |
| 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 |
80 |
38 |
$550.54 |
| 85018 |
|
109 |
106 |
$91.55 |
| 1126F |
|
767 |
719 |
$23.47 |
| 1034F |
|
656 |
562 |
$14.17 |
| 1159F |
|
1,266 |
1,137 |
$12.61 |
| 1125F |
|
361 |
329 |
$12.61 |
| 81002 |
|
231 |
221 |
$4.19 |
| 3078F |
|
1,237 |
1,135 |
$0.02 |
| 3074F |
|
1,312 |
1,198 |
$0.02 |
| 1036F |
|
1,852 |
1,625 |
$0.01 |
| 1220F |
|
2,255 |
2,000 |
$0.01 |
| 1000F |
|
2,613 |
2,259 |
$0.01 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
58 |
57 |
$0.00 |
| 3288F |
|
146 |
129 |
$0.00 |
| 3077F |
|
82 |
74 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
39 |
35 |
$0.00 |
| 3016F |
|
39 |
37 |
$0.00 |
| 99173 |
|
30 |
30 |
$0.00 |
| 1158F |
|
24 |
24 |
$0.00 |
| 3075F |
|
97 |
91 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
72 |
$0.00 |
| 3079F |
|
298 |
272 |
$0.00 |
| 36416 |
|
26 |
26 |
$0.00 |