| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,033 |
2,027 |
$0.00 |
| 92552 |
|
958 |
958 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,223 |
1,220 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
977 |
974 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
937 |
937 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,660 |
3,480 |
$0.00 |
| 99173 |
|
689 |
689 |
$0.00 |
| 83655 |
|
69 |
69 |
$0.00 |
| 90670 |
|
44 |
43 |
$0.00 |
| 99382 |
|
26 |
26 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
25 |
25 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
41 |
40 |
$0.00 |
| 85018 |
|
145 |
145 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,191 |
5,080 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,843 |
4,826 |
$0.00 |
| 90688 |
|
213 |
213 |
$0.00 |
| 99383 |
|
81 |
81 |
$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 |
360 |
350 |
$0.00 |
| 99384 |
|
37 |
37 |
$0.00 |
| 90480 |
|
136 |
136 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
71 |
71 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
103 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |
| 90656 |
|
42 |
42 |
$0.00 |
| 90686 |
|
77 |
77 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |