| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,998 |
2,718 |
$118K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,983 |
1,805 |
$49K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
108 |
106 |
$10K |
| 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 |
573 |
462 |
$419.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$164.11 |
| 90686 |
|
14 |
12 |
$128.06 |
| 1000F |
|
562 |
514 |
$0.00 |
| 3074F |
|
236 |
221 |
$0.00 |
| 1036F |
|
228 |
215 |
$0.00 |
| 3078F |
|
231 |
216 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
68 |
67 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
57 |
52 |
$0.00 |