| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,247 |
4,149 |
$326K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,379 |
1,247 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,715 |
1,392 |
$103K |
| H1000 |
Prenatal care, at-risk assessment |
672 |
522 |
$79K |
| 81025 |
|
3,378 |
3,039 |
$67K |
| 99215 |
Prolong outpt/office vis |
709 |
264 |
$38K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,588 |
6,940 |
$33K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,238 |
4,771 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
299 |
259 |
$20K |
| 90670 |
|
2,315 |
2,061 |
$10K |
| 90698 |
|
1,797 |
1,584 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
270 |
250 |
$6K |
| 90710 |
|
1,067 |
981 |
$5K |
| 90633 |
|
1,361 |
1,233 |
$5K |
| 90651 |
|
697 |
656 |
$4K |
| 90715 |
|
734 |
695 |
$3K |
| 90686 |
|
932 |
904 |
$3K |
| 90744 |
|
1,233 |
1,095 |
$3K |
| 90696 |
|
702 |
643 |
$2K |
| 90707 |
|
284 |
252 |
$2K |
| 90700 |
|
316 |
273 |
$2K |
| 90716 |
|
333 |
295 |
$1K |
| 85018 |
|
366 |
337 |
$1K |
| 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 |
326 |
226 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
377 |
342 |
$1K |
| 90734 |
|
405 |
375 |
$834.54 |
| 90647 |
|
135 |
127 |
$786.73 |
| 36415 |
Collection of venous blood by venipuncture |
1,346 |
1,221 |
$550.67 |
| 81002 |
|
713 |
593 |
$514.08 |
| 90681 |
|
685 |
592 |
$380.51 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
27 |
$168.81 |
| 1000F |
|
1,243 |
981 |
$67.24 |
| 3008F |
|
1,406 |
1,185 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
575 |
456 |
$0.00 |
| 1036F |
|
279 |
226 |
$0.00 |
| 94760 |
|
409 |
284 |
$0.00 |
| 90677 |
|
117 |
107 |
$0.00 |
| 3074F |
|
108 |
89 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
13 |
13 |
$0.00 |
| 90619 |
|
16 |
15 |
$0.00 |
| 1034F |
|
38 |
24 |
$0.00 |
| 90697 |
|
18 |
16 |
$0.00 |
| 3079F |
|
14 |
12 |
$0.00 |
| 90656 |
|
17 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
141 |
115 |
$0.00 |
| 3725F |
|
833 |
683 |
$0.00 |
| 3078F |
|
56 |
43 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
13 |
$0.00 |