| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,125 |
7,451 |
$1.41M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,328 |
1,086 |
$164K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
597 |
546 |
$134K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
302 |
281 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
110 |
103 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
52 |
41 |
$7K |
| 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 |
3,776 |
2,867 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
93 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
685 |
660 |
$805.86 |
| 96160 |
|
37 |
35 |
$590.18 |
| 96127 |
|
27 |
25 |
$295.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$210.94 |
| 36415 |
Collection of venous blood by venipuncture |
437 |
374 |
$38.21 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
86 |
45 |
$20.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
12 |
12 |
$4.34 |
| 1160F |
|
231 |
218 |
$0.00 |
| 90670 |
|
129 |
121 |
$0.00 |
| 3078F |
|
27 |
26 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$0.00 |
| 3077F |
|
29 |
27 |
$0.00 |
| 3074F |
|
15 |
15 |
$0.00 |
| 90698 |
|
15 |
14 |
$0.00 |
| 90677 |
|
31 |
29 |
$0.00 |
| 90744 |
|
13 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |