| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,851 |
4,553 |
$357K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,159 |
5,480 |
$311K |
| 87428 |
|
507 |
452 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
446 |
413 |
$12K |
| 90686 |
|
559 |
536 |
$9K |
| 3008F |
|
2,850 |
2,713 |
$8K |
| 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 |
721 |
563 |
$8K |
| 3074F |
|
1,587 |
1,502 |
$8K |
| 99000 |
|
3,867 |
3,600 |
$7K |
| 1000F |
|
2,943 |
2,786 |
$7K |
| 3078F |
|
1,311 |
1,250 |
$6K |
| 3079F |
|
970 |
938 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
3,215 |
2,984 |
$5K |
| 1034F |
|
1,316 |
1,223 |
$4K |
| 1036F |
|
1,838 |
1,725 |
$4K |
| 90677 |
|
16 |
16 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
262 |
227 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
716 |
690 |
$3K |
| 4004F |
|
761 |
731 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
72 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 3077F |
|
343 |
334 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
149 |
98 |
$2K |
| 3351F |
|
1,896 |
1,806 |
$2K |
| 3075F |
|
233 |
228 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$1K |
| 0012A |
|
35 |
34 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
177 |
169 |
$1K |
| 3017F |
|
354 |
331 |
$725.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$709.49 |
| 0011A |
|
39 |
39 |
$643.84 |
| 90715 |
|
22 |
16 |
$499.52 |
| 2022F |
|
42 |
39 |
$325.00 |
| 3080F |
|
58 |
57 |
$225.00 |
| 87807 |
|
15 |
13 |
$206.40 |
| 1035F |
|
14 |
14 |
$150.00 |
| 81003 |
|
75 |
63 |
$147.60 |
| 99173 |
|
62 |
60 |
$132.85 |
| 99406 |
|
12 |
12 |
$64.44 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$34.00 |
| 91301 |
|
89 |
87 |
$0.80 |
| 1170F |
|
190 |
170 |
$0.00 |