| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,929 |
7,802 |
$469K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,044 |
954 |
$87K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
361 |
333 |
$23K |
| 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 |
4,081 |
3,366 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
83 |
79 |
$7K |
| 82962 |
|
584 |
501 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,098 |
1,007 |
$2K |
| Q3014 |
Telehealth originating site facility fee |
91 |
85 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
154 |
144 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$1K |
| 99406 |
|
298 |
239 |
$882.69 |
| 97803 |
|
98 |
82 |
$280.35 |
| 81002 |
|
155 |
135 |
$193.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
76 |
70 |
$97.06 |
| G0008 |
Administration of influenza virus vaccine |
25 |
25 |
$47.55 |
| 1126F |
|
162 |
149 |
$0.00 |
| 3008F |
|
1,023 |
900 |
$0.00 |
| 3079F |
|
237 |
217 |
$0.00 |
| 1101F |
|
277 |
250 |
$0.00 |
| 1034F |
|
29 |
29 |
$0.00 |
| 1170F |
|
407 |
371 |
$0.00 |
| 1000F |
|
173 |
141 |
$0.00 |
| 3074F |
|
319 |
274 |
$0.00 |
| 1125F |
|
59 |
53 |
$0.00 |
| 3075F |
|
82 |
79 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 1158F |
|
389 |
355 |
$0.00 |
| 3077F |
|
185 |
164 |
$0.00 |
| 3725F |
|
1,675 |
1,422 |
$0.00 |
| 1159F |
|
728 |
635 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
375 |
339 |
$0.00 |
| 1160F |
|
726 |
634 |
$0.00 |
| 3078F |
|
489 |
434 |
$0.00 |
| 3288F |
|
292 |
263 |
$0.00 |
| 1032F |
|
89 |
75 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
25 |
25 |
$0.00 |
| 81025 |
|
26 |
26 |
$0.00 |
| 81003 |
|
15 |
12 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$0.00 |