| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,935 |
3,394 |
$396K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
597 |
549 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
351 |
346 |
$45K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
415 |
363 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
68 |
67 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
78 |
76 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
70 |
60 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
53 |
40 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$1K |
| 99384 |
|
14 |
13 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,650 |
1,537 |
$174.47 |
| 90686 |
|
132 |
123 |
$122.10 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
77 |
35 |
$54.25 |
| 90677 |
|
25 |
24 |
$0.09 |
| 90633 |
|
30 |
25 |
$0.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
493 |
445 |
$0.00 |
| 90670 |
|
139 |
136 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
399 |
363 |
$0.00 |
| 90658 |
|
32 |
30 |
$0.00 |
| 1159F |
|
2,066 |
1,719 |
$0.00 |
| 90461 |
|
1,406 |
852 |
$0.00 |
| 99188 |
|
53 |
49 |
$0.00 |
| 92552 |
|
201 |
183 |
$0.00 |
| 99173 |
|
87 |
82 |
$0.00 |
| 90710 |
|
17 |
15 |
$0.00 |
| 1126F |
|
2,310 |
1,953 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
564 |
514 |
$0.00 |
| 87280 |
|
195 |
176 |
$0.00 |
| 92551 |
|
158 |
142 |
$0.00 |
| 3351F |
|
40 |
37 |
$0.00 |
| 3008F |
|
186 |
170 |
$0.00 |
| 90656 |
|
105 |
90 |
$0.00 |
| 1000F |
|
45 |
41 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 1031F |
|
30 |
26 |
$0.00 |
| 90688 |
|
327 |
317 |
$0.00 |
| 4037F |
|
147 |
136 |
$0.00 |
| 90697 |
|
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
14 |
$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 |
43 |
39 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
47 |
$0.00 |
| 90696 |
|
16 |
14 |
$0.00 |
| 90651 |
|
13 |
12 |
$0.00 |