| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,226 |
4,563 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,545 |
1,395 |
$30K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,993 |
1,844 |
$23K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
171 |
167 |
$15K |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
214 |
139 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
115 |
111 |
$8K |
| 92551 |
|
535 |
533 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
187 |
187 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
994 |
988 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
92 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
118 |
117 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
304 |
302 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
122 |
119 |
$2K |
| 99173 |
|
622 |
618 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
217 |
215 |
$1K |
| 96156 |
|
104 |
94 |
$1K |
| 90674 |
|
62 |
62 |
$1K |
| 90686 |
|
132 |
132 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
327 |
327 |
$979.52 |
| 85018 |
|
685 |
682 |
$821.08 |
| 82962 |
|
488 |
470 |
$694.97 |
| 81003 |
|
610 |
561 |
$679.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
110 |
$524.25 |
| 59430 |
|
13 |
13 |
$483.84 |
| 81025 |
|
274 |
271 |
$473.90 |
| M1016 |
Female patients unable to bear children |
615 |
493 |
$397.00 |
| 93000 |
|
13 |
13 |
$315.70 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
29 |
$260.44 |
| 99401 |
|
25 |
25 |
$218.72 |
| 90677 |
|
15 |
15 |
$54.00 |
| 90473 |
|
87 |
87 |
$50.00 |
| 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 |
256 |
221 |
$6.20 |
| 1126F |
|
2,499 |
2,350 |
$0.00 |
| 3080F |
|
47 |
46 |
$0.00 |
| 3075F |
|
442 |
417 |
$0.00 |
| 3044F |
|
201 |
200 |
$0.00 |
| 3079F |
|
1,133 |
1,041 |
$0.00 |
| 3074F |
|
3,365 |
3,029 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
65 |
65 |
$0.00 |
| 1123F |
|
12 |
12 |
$0.00 |
| 1125F |
|
219 |
206 |
$0.00 |
| 3078F |
|
2,930 |
2,654 |
$0.00 |
| 1159F |
|
4,567 |
4,059 |
$0.00 |
| 3077F |
|
247 |
234 |
$0.00 |
| 1158F |
|
12 |
12 |
$0.00 |
| 0502F |
|
47 |
41 |
$0.00 |