| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,947 |
9,241 |
$1.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,887 |
2,291 |
$329K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,332 |
3,080 |
$262K |
| 36415 |
Collection of venous blood by venipuncture |
3,506 |
2,759 |
$142K |
| 90686 |
|
1,208 |
1,120 |
$117K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
540 |
517 |
$97K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
475 |
401 |
$73K |
| W0037 |
|
4,992 |
4,992 |
$73K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
456 |
195 |
$70K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
485 |
374 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
494 |
420 |
$65K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
711 |
528 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
284 |
273 |
$54K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
245 |
228 |
$43K |
| 99188 |
|
361 |
342 |
$41K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,480 |
1,379 |
$35K |
| 80053 |
Comprehensive metabolic panel |
150 |
126 |
$21K |
| 90837 |
Psychotherapy, 53 minutes with patient |
92 |
40 |
$12K |
| 81003 |
|
73 |
58 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
54 |
52 |
$7K |
| 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 |
321 |
207 |
$6K |
| 99000 |
|
15 |
14 |
$3K |
| 90651 |
|
192 |
181 |
$2K |
| 80050 |
General health panel |
15 |
12 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
17 |
14 |
$247.00 |
| 71046 |
Radiologic examination, chest; 2 views |
20 |
12 |
$70.44 |
| 90670 |
|
91 |
84 |
$0.00 |
| 90734 |
|
98 |
92 |
$0.00 |
| 90672 |
|
13 |
12 |
$0.00 |
| 90715 |
|
99 |
91 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90661 |
|
178 |
171 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90674 |
|
56 |
47 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 36416 |
|
16 |
13 |
$0.00 |