| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
628 |
442 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
516 |
301 |
$93K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
28 |
$8K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new 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 |
13 |
13 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
169 |
117 |
$0.00 |
| 96127 |
|
272 |
192 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
111 |
64 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
26 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
265 |
173 |
$0.00 |
| 83735 |
|
62 |
38 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
42 |
14 |
$0.00 |
| 84480 |
|
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
234 |
147 |
$0.00 |
| 90651 |
|
34 |
12 |
$0.00 |
| 92551 |
|
42 |
14 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
49 |
31 |
$0.00 |
| 82043 |
|
49 |
29 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
34 |
13 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
31 |
13 |
$0.00 |
| 84100 |
|
62 |
38 |
$0.00 |
| 80061 |
Lipid panel |
119 |
80 |
$0.00 |
| 84481 |
|
12 |
12 |
$0.00 |
| 84439 |
|
46 |
25 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
36 |
13 |
$0.00 |
| 82570 |
|
49 |
29 |
$0.00 |
| 99173 |
|
42 |
14 |
$0.00 |