| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,837 |
6,956 |
$48K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,607 |
2,299 |
$23K |
| 0002A |
|
413 |
403 |
$15K |
| 0004A |
|
340 |
279 |
$11K |
| 0001A |
|
404 |
391 |
$10K |
| 0012A |
|
188 |
187 |
$7K |
| 0011A |
|
187 |
183 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,562 |
2,107 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
465 |
389 |
$4K |
| 0071A |
|
68 |
67 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
349 |
316 |
$2K |
| 0072A |
|
47 |
47 |
$2K |
| 99441 |
|
744 |
653 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
60 |
60 |
$2K |
| 99442 |
|
202 |
191 |
$1K |
| 91307 |
|
144 |
130 |
$1K |
| 90461 |
|
118 |
118 |
$1K |
| 90656 |
|
129 |
88 |
$900.12 |
| 90686 |
|
457 |
417 |
$816.00 |
| 93000 |
|
113 |
113 |
$799.00 |
| 96127 |
|
2,974 |
2,744 |
$727.88 |
| 0064A |
|
15 |
15 |
$600.00 |
| 92002 |
|
16 |
15 |
$250.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$209.69 |
| 90688 |
|
71 |
71 |
$200.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$140.00 |
| 90658 |
|
33 |
33 |
$132.00 |
| 91300 |
|
1,315 |
1,177 |
$3.03 |
| 3725F |
|
177 |
165 |
$0.00 |
| 3077F |
|
292 |
272 |
$0.00 |
| 3078F |
|
571 |
536 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
103 |
96 |
$0.00 |
| 1159F |
|
68 |
68 |
$0.00 |
| 1158F |
|
68 |
64 |
$0.00 |
| 1160F |
|
68 |
68 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| 3075F |
|
214 |
213 |
$0.00 |
| 1220F |
|
2,758 |
2,537 |
$0.00 |
| 91301 |
|
407 |
389 |
$0.00 |
| 4010F |
|
247 |
244 |
$0.00 |
| 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 |
37 |
37 |
$0.00 |
| 3074F |
|
219 |
207 |
$0.00 |
| 1157F |
|
68 |
64 |
$0.00 |
| 3079F |
|
398 |
380 |
$0.00 |
| 3351F |
|
313 |
298 |
$0.00 |
| 3061F |
|
12 |
12 |
$0.00 |
| 3017F |
|
122 |
119 |
$0.00 |
| 1126F |
|
15 |
15 |
$0.00 |
| 91306 |
|
15 |
15 |
$0.00 |
| 1170F |
|
29 |
29 |
$0.00 |
| 1101F |
|
28 |
28 |
$0.00 |
| 3014F |
|
26 |
26 |
$0.00 |