| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,921 |
6,092 |
$383K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,318 |
2,016 |
$113K |
| G9002 |
Coordinated care fee, maintenance rate |
508 |
495 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
408 |
402 |
$31K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
399 |
396 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
205 |
203 |
$15K |
| 90686 |
|
1,576 |
1,506 |
$15K |
| 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 |
1,622 |
1,251 |
$11K |
| 92551 |
|
1,272 |
1,246 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
78 |
$7K |
| 81025 |
|
676 |
599 |
$3K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
58 |
53 |
$2K |
| 90670 |
|
135 |
134 |
$2K |
| 99173 |
|
904 |
878 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
28 |
$2K |
| 81002 |
|
697 |
616 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
137 |
130 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
157 |
149 |
$1K |
| 99177 |
|
271 |
268 |
$913.14 |
| 0001A |
|
19 |
19 |
$798.00 |
| 0012A |
|
16 |
16 |
$672.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
239 |
224 |
$586.13 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
52 |
$569.88 |
| 82962 |
|
298 |
264 |
$550.70 |
| 90685 |
|
29 |
29 |
$297.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
113 |
109 |
$296.17 |
| 36415 |
Collection of venous blood by venipuncture |
380 |
331 |
$283.16 |
| 90648 |
|
24 |
24 |
$268.75 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
18 |
12 |
$227.41 |
| 85018 |
|
92 |
91 |
$200.02 |
| D7140 |
Extraction, erupted tooth or exposed root |
16 |
12 |
$138.00 |
| 90680 |
|
12 |
12 |
$132.00 |
| 94760 |
|
102 |
85 |
$29.61 |
| G0008 |
Administration of influenza virus vaccine |
105 |
85 |
$23.21 |
| D1999 |
|
24 |
21 |
$0.00 |
| 86328 |
|
37 |
35 |
$0.00 |
| 99000 |
|
16 |
14 |
$0.00 |