| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,235 |
3,467 |
$195K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,565 |
1,422 |
$114K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,163 |
1,080 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
847 |
833 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,385 |
982 |
$38K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,440 |
1,402 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
290 |
287 |
$23K |
| 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 |
127 |
16 |
$23K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,985 |
1,913 |
$17K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
113 |
108 |
$7K |
| 99460 |
|
119 |
107 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
100 |
89 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
66 |
64 |
$4K |
| T1015 |
Clinic visit/encounter, all-inclusive |
19 |
12 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$3K |
| 99051 |
|
92 |
88 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
160 |
160 |
$2K |
| 87428 |
|
33 |
33 |
$2K |
| 90473 |
|
111 |
109 |
$1K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
49 |
44 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
85 |
84 |
$766.57 |
| 99462 |
|
28 |
17 |
$626.39 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
21 |
$451.20 |
| 99441 |
|
15 |
15 |
$138.60 |
| 81002 |
|
63 |
61 |
$127.80 |
| 90674 |
|
24 |
23 |
$1.20 |
| 90686 |
|
14 |
13 |
$0.65 |