| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,877 |
4,123 |
$434K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,505 |
3,691 |
$338K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
136 |
114 |
$12K |
| 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 |
1,395 |
1,007 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
68 |
63 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
26 |
25 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
14 |
13 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,118 |
901 |
$225.01 |
| 85027 |
|
212 |
176 |
$178.86 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$30.82 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
221 |
196 |
$10.50 |
| 90686 |
|
103 |
103 |
$9.50 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
70 |
68 |
$4.00 |
| 90671 |
|
13 |
13 |
$0.06 |
| 90677 |
|
25 |
14 |
$0.04 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
570 |
272 |
$0.00 |
| 90670 |
|
125 |
114 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
585 |
547 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
325 |
301 |
$0.00 |
| 90648 |
|
42 |
41 |
$0.00 |
| 99071 |
|
104 |
102 |
$0.00 |
| 87420 |
|
50 |
34 |
$0.00 |
| 1160F |
|
100 |
82 |
$0.00 |
| 3078F |
|
17 |
15 |
$0.00 |
| 81002 |
|
14 |
13 |
$0.00 |
| 90633 |
|
26 |
14 |
$0.00 |
| 90687 |
|
14 |
13 |
$0.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
227 |
176 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
845 |
801 |
$0.00 |
| 87428 |
|
441 |
357 |
$0.00 |
| 99000 |
|
131 |
119 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
13 |
12 |
$0.00 |
| 3074F |
|
19 |
17 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
148 |
144 |
$0.00 |
| 36416 |
|
43 |
31 |
$0.00 |
| 1036F |
|
33 |
29 |
$0.00 |