| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,258 |
1,939 |
$93K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,013 |
951 |
$59K |
| 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 |
201 |
172 |
$36K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
117 |
117 |
$7K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
37 |
37 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
175 |
160 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
251 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
89 |
79 |
$2K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
37 |
37 |
$2K |
| 0012A |
|
38 |
38 |
$1K |
| 0011A |
|
48 |
48 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$764.96 |
| 99051 |
|
34 |
34 |
$750.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$85.77 |
| 82962 |
|
30 |
25 |
$50.10 |
| 90674 |
|
29 |
29 |
$1.40 |