| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,466 |
5,851 |
$304K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,723 |
1,617 |
$112K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,830 |
1,726 |
$17K |
| 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 |
92 |
72 |
$16K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
232 |
226 |
$16K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
209 |
206 |
$12K |
| 87428 |
|
201 |
195 |
$11K |
| T1015 |
Clinic visit/encounter, all-inclusive |
64 |
53 |
$10K |
| T1017 |
Targeted case management, each 15 minutes |
148 |
147 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
212 |
199 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
399 |
374 |
$6K |
| 99385 |
|
49 |
49 |
$4K |
| 0012A |
|
95 |
95 |
$4K |
| 99051 |
|
161 |
155 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
514 |
499 |
$3K |
| 99460 |
|
70 |
65 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
57 |
51 |
$3K |
| 0011A |
|
113 |
112 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
42 |
39 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
103 |
94 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
87 |
82 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
14 |
$887.52 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$775.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
77 |
77 |
$756.80 |
| T1016 |
Case management, each 15 minutes |
46 |
39 |
$646.00 |
| 0002A |
|
13 |
13 |
$524.89 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
14 |
14 |
$456.04 |
| 99173 |
|
85 |
83 |
$430.81 |
| 96160 |
|
103 |
99 |
$339.96 |
| 99442 |
|
17 |
15 |
$287.12 |
| 93000 |
|
18 |
18 |
$224.35 |
| 86580 |
|
42 |
25 |
$217.56 |
| 82962 |
|
116 |
100 |
$200.63 |
| 94760 |
|
63 |
58 |
$155.21 |
| 81002 |
|
75 |
72 |
$154.42 |
| 81025 |
|
27 |
27 |
$141.72 |
| 90686 |
|
222 |
193 |
$122.83 |
| 99441 |
|
13 |
12 |
$120.12 |
| 90715 |
|
13 |
13 |
$0.45 |