| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,229 |
9,177 |
$581K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,976 |
2,409 |
$214K |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,603 |
8,898 |
$137K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,882 |
1,556 |
$61K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
113 |
86 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,318 |
1,201 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
92 |
86 |
$8K |
| 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 |
264 |
182 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
707 |
629 |
$6K |
| 90686 |
|
443 |
404 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,638 |
1,390 |
$5K |
| 90791 |
Psychiatric diagnostic evaluation |
34 |
31 |
$3K |
| 36416 |
|
1,550 |
1,358 |
$3K |
| 90834 |
Psychotherapy, 45 minutes with patient |
49 |
30 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
58 |
55 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$1K |
| 82948 |
|
916 |
786 |
$731.23 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
27 |
$617.26 |
| 92551 |
|
50 |
45 |
$269.01 |
| 99173 |
|
90 |
83 |
$115.17 |
| 81003 |
|
13 |
12 |
$26.41 |
| E0445 |
Oximeter device for measuring blood oxygen levels non-invasively |
31 |
27 |
$0.00 |