| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,905 |
1,743 |
$105K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,331 |
1,242 |
$90K |
| 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 |
369 |
293 |
$3K |
| 0012A |
|
38 |
37 |
$1K |
| 0011A |
|
19 |
16 |
$600.00 |
| 92551 |
|
44 |
44 |
$433.89 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
29 |
$356.96 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
29 |
$298.76 |
| 36415 |
Collection of venous blood by venipuncture |
139 |
134 |
$210.69 |
| 99173 |
|
17 |
17 |
$42.24 |
| 81025 |
|
13 |
13 |
$29.20 |
| 91301 |
|
17 |
17 |
$0.00 |