| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,095 |
5,069 |
$257K |
| H1000 |
Prenatal care, at-risk assessment |
1,849 |
1,099 |
$123K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
995 |
846 |
$66K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,182 |
950 |
$46K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
745 |
682 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
178 |
152 |
$9K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
1,688 |
1,374 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
46 |
39 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,376 |
1,179 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
24 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
788 |
659 |
$1K |
| 99385 |
|
18 |
14 |
$960.85 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
24 |
17 |
$873.73 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
52 |
52 |
$470.00 |
| 82962 |
|
471 |
386 |
$381.72 |
| 59430 |
|
12 |
12 |
$360.40 |
| 81002 |
|
754 |
363 |
$279.99 |
| 1036F |
|
6,535 |
4,565 |
$232.36 |
| 85018 |
|
246 |
242 |
$184.48 |
| 81025 |
|
85 |
69 |
$121.38 |
| 90670 |
|
616 |
519 |
$105.32 |
| 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 |
241 |
169 |
$34.18 |
| 93000 |
|
12 |
12 |
$31.42 |
| 81003 |
|
20 |
14 |
$31.11 |
| 90698 |
|
255 |
191 |
$5.00 |
| 90686 |
|
48 |
48 |
$5.00 |
| 97803 |
|
1,522 |
1,423 |
$0.01 |
| 1126F |
|
8,818 |
6,993 |
$0.00 |
| 3074F |
|
5,955 |
3,856 |
$0.00 |
| 1034F |
|
634 |
456 |
$0.00 |
| 3008F |
|
8,126 |
6,034 |
$0.00 |
| 1035F |
|
667 |
501 |
$0.00 |
| 1125F |
|
733 |
602 |
$0.00 |
| 90474 |
|
63 |
38 |
$0.00 |
| 90680 |
|
277 |
229 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,800 |
1,619 |
$0.00 |
| 3079F |
|
1,669 |
1,092 |
$0.00 |
| 3075F |
|
961 |
660 |
$0.00 |
| 2000F |
|
118 |
104 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
218 |
205 |
$0.00 |
| 2001F |
|
187 |
173 |
$0.00 |
| 3044F |
|
53 |
47 |
$0.00 |
| 90744 |
|
83 |
55 |
$0.00 |
| 1000F |
|
77 |
67 |
$0.00 |
| 1101F |
|
40 |
33 |
$0.00 |
| 1220F |
|
68 |
55 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
13 |
12 |
$0.00 |
| 3725F |
|
5,323 |
3,699 |
$0.00 |
| 3288F |
|
3,369 |
2,473 |
$0.00 |
| 1159F |
|
8,217 |
6,159 |
$0.00 |
| 1160F |
|
8,175 |
6,129 |
$0.00 |
| 3078F |
|
5,988 |
3,633 |
$0.00 |
| 3077F |
|
566 |
291 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
13 |
12 |
$0.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 96160 |
|
15 |
14 |
$0.00 |