| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,472 |
2,201 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,058 |
989 |
$69K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
589 |
576 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
514 |
439 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
762 |
730 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
220 |
213 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,378 |
1,325 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
284 |
257 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
116 |
114 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
99 |
92 |
$6K |
| 99051 |
|
151 |
149 |
$4K |
| 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 |
19 |
13 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
54 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
15 |
14 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
121 |
116 |
$1K |
| 90473 |
|
113 |
108 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
119 |
117 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
61 |
56 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
19 |
19 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
89 |
46 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
127 |
121 |
$823.30 |
| 99460 |
|
16 |
16 |
$713.02 |
| 81025 |
|
44 |
41 |
$225.65 |
| 99441 |
|
24 |
15 |
$216.76 |
| 81002 |
|
37 |
32 |
$76.37 |
| 90674 |
|
29 |
29 |
$20.99 |
| 90686 |
|
126 |
126 |
$6.10 |
| 90670 |
|
22 |
12 |
$1.10 |