| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,417 |
2,083 |
$62K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
99 |
93 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
37 |
37 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
44 |
$1K |
| H1000 |
Prenatal care, at-risk assessment |
14 |
14 |
$595.64 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$509.81 |
| 81025 |
|
207 |
193 |
$427.33 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
110 |
108 |
$293.95 |
| 36415 |
Collection of venous blood by venipuncture |
54 |
53 |
$120.00 |
| 3075F |
|
300 |
268 |
$25.00 |
| 82947 |
|
30 |
27 |
$20.43 |
| 81002 |
|
27 |
27 |
$10.08 |
| 3351F |
|
797 |
630 |
$0.03 |
| 1000F |
|
3,711 |
2,774 |
$0.01 |
| 3008F |
|
3,742 |
2,849 |
$0.01 |
| 3078F |
|
2,202 |
1,708 |
$0.00 |
| 1159F |
|
702 |
588 |
$0.00 |
| 1160F |
|
706 |
592 |
$0.00 |
| 4004F |
|
69 |
61 |
$0.00 |
| 3077F |
|
61 |
44 |
$0.00 |
| 1220F |
|
1,563 |
1,395 |
$0.00 |
| 1036F |
|
542 |
402 |
$0.00 |
| 3074F |
|
2,292 |
2,020 |
$0.00 |
| 2001F |
|
2,944 |
2,276 |
$0.00 |
| 3079F |
|
1,015 |
775 |
$0.00 |
| 1034F |
|
53 |
42 |
$0.00 |
| 4000F |
|
190 |
171 |
$0.00 |
| 2000F |
|
2,855 |
2,215 |
$0.00 |
| 3044F |
|
241 |
211 |
$0.00 |
| 1125F |
|
48 |
45 |
$0.00 |
| 0513F |
|
107 |
102 |
$0.00 |
| 1126F |
|
339 |
277 |
$0.00 |
| 3353F |
|
16 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$0.00 |
| 4010F |
|
32 |
24 |
$0.00 |
| 96127 |
|
67 |
63 |
$0.00 |
| 36416 |
|
18 |
12 |
$0.00 |
| 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 |
14 |
14 |
$0.00 |