| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,367 |
6,228 |
$1.48M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
835 |
754 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
702 |
661 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
238 |
236 |
$51K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
107 |
107 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
36 |
36 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
76 |
76 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
151 |
151 |
$2K |
| 87905 |
|
124 |
115 |
$1K |
| 87808 |
|
124 |
114 |
$1K |
| 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 |
391 |
336 |
$334.86 |
| 81002 |
|
691 |
529 |
$257.59 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$232.91 |
| 99173 |
|
20 |
20 |
$196.72 |
| 81025 |
|
45 |
41 |
$154.15 |
| 81003 |
|
113 |
100 |
$32.89 |
| 36415 |
Collection of venous blood by venipuncture |
477 |
455 |
$2.25 |
| 90686 |
|
152 |
149 |
$0.43 |
| 90723 |
|
163 |
163 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,079 |
1,061 |
$0.00 |
| 90647 |
|
173 |
173 |
$0.00 |
| 90680 |
|
130 |
130 |
$0.00 |
| 90677 |
|
75 |
73 |
$0.00 |
| 3079F |
|
43 |
40 |
$0.00 |
| 90656 |
|
38 |
38 |
$0.00 |
| 3074F |
|
13 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
585 |
579 |
$0.00 |
| 90670 |
|
228 |
228 |
$0.00 |
| 90715 |
|
25 |
24 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
34 |
13 |
$0.00 |