| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,341 |
3,386 |
$240K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,646 |
1,397 |
$100K |
| 99215 |
Prolong outpt/office vis |
1,068 |
888 |
$97K |
| 59425 |
|
1,303 |
934 |
$97K |
| T1015 |
Clinic visit/encounter, all-inclusive |
11,357 |
9,244 |
$86K |
| 59426 |
|
707 |
324 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
434 |
395 |
$38K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
193 |
171 |
$21K |
| 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 |
1,393 |
1,087 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
85 |
81 |
$9K |
| 81025 |
|
680 |
577 |
$5K |
| 81002 |
|
963 |
544 |
$3K |
| 90686 |
|
252 |
203 |
$3K |
| 59430 |
|
16 |
13 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
690 |
581 |
$2K |
| 90662 |
|
190 |
151 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
151 |
124 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
22 |
16 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
27 |
$1K |
| G9997 |
Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter |
21 |
12 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
158 |
139 |
$850.36 |
| 90656 |
|
70 |
67 |
$794.40 |
| 90682 |
|
13 |
13 |
$756.98 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
281 |
252 |
$750.39 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
234 |
209 |
$522.48 |
| 96127 |
|
50 |
43 |
$76.42 |
| 3078F |
|
129 |
125 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
260 |
200 |
$0.00 |
| 3079F |
|
85 |
82 |
$0.00 |
| 3074F |
|
175 |
169 |
$0.00 |
| 3075F |
|
28 |
26 |
$0.00 |