| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
884 |
787 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,392 |
1,203 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
88 |
83 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$2K |
| 99385 |
|
13 |
13 |
$929.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
55 |
$401.04 |
| 82948 |
|
76 |
70 |
$108.18 |
| 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 |
12 |
12 |
$88.04 |
| 3008F |
|
1,791 |
1,480 |
$74.52 |
| 3078F |
|
1,266 |
1,069 |
$0.00 |
| 3725F |
|
1,928 |
1,597 |
$0.00 |
| 81002 |
|
30 |
12 |
$0.00 |
| 1159F |
|
106 |
97 |
$0.00 |
| 1160F |
|
105 |
96 |
$0.00 |
| 3351F |
|
1,877 |
1,562 |
$0.00 |
| 3074F |
|
1,184 |
1,046 |
$0.00 |
| 3044F |
|
99 |
91 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
65 |
63 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |
| 3079F |
|
24 |
12 |
$0.00 |