| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,927 |
1,696 |
$349.30 |
| 99215 |
Prolong outpt/office vis |
517 |
484 |
$285.50 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,284 |
2,924 |
$191.24 |
| 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 |
999 |
715 |
$136.05 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
218 |
197 |
$40.77 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
41 |
38 |
$30.00 |
| 87210 |
|
310 |
277 |
$4.07 |
| 96160 |
|
498 |
474 |
$3.53 |
| 99205 |
Prolong outpt/office vis |
29 |
25 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22 |
22 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
335 |
237 |
$0.00 |
| 81003 |
|
493 |
451 |
$0.00 |
| 81025 |
|
86 |
81 |
$0.00 |
| S4993 |
Contraceptive pills for birth control |
15 |
13 |
$0.00 |