| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,335 |
5,349 |
$256K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,635 |
3,049 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
681 |
588 |
$37K |
| 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 |
2,529 |
1,781 |
$37K |
| 99441 |
|
494 |
433 |
$19K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
521 |
372 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
3,757 |
3,355 |
$5K |
| 99000 |
|
3,437 |
3,205 |
$5K |
| 90756 |
|
122 |
120 |
$3K |
| 90686 |
|
295 |
269 |
$2K |
| 90674 |
|
78 |
71 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
13 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
371 |
362 |
$2K |
| 3078F |
|
219 |
206 |
$1K |
| 3074F |
|
217 |
200 |
$1K |
| 3079F |
|
201 |
186 |
$975.00 |
| 3044F |
|
85 |
70 |
$485.00 |
| 3008F |
|
358 |
311 |
$300.00 |
| 3077F |
|
59 |
54 |
$275.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
14 |
$167.70 |
| 1034F |
|
186 |
171 |
$125.00 |
| 3075F |
|
32 |
28 |
$100.00 |
| 81003 |
|
44 |
41 |
$83.58 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
16 |
16 |
$14.70 |
| G0008 |
Administration of influenza virus vaccine |
43 |
33 |
$1.51 |
| 90632 |
|
20 |
20 |
$0.00 |