| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,692 |
5,964 |
$375K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,198 |
1,929 |
$148K |
| 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 |
1,910 |
1,572 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
139 |
133 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
106 |
101 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
50 |
48 |
$4K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
28 |
26 |
$2K |
| 90686 |
|
217 |
189 |
$2K |
| 90670 |
|
143 |
138 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
46 |
42 |
$2K |
| 99000 |
|
1,606 |
1,424 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,340 |
1,191 |
$2K |
| 96127 |
|
137 |
133 |
$550.93 |
| 90633 |
|
46 |
43 |
$515.06 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
730 |
662 |
$454.90 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
73 |
70 |
$441.95 |
| 3008F |
|
71 |
68 |
$425.00 |
| 99173 |
|
167 |
158 |
$351.83 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
28 |
$349.28 |
| 90461 |
|
352 |
337 |
$317.20 |
| 90648 |
|
25 |
25 |
$275.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
25 |
$234.98 |
| 90723 |
|
14 |
12 |
$194.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
14 |
$166.32 |
| 90651 |
|
14 |
14 |
$154.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$96.04 |
| 94760 |
|
88 |
74 |
$17.82 |
| 36416 |
|
119 |
111 |
$14.06 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
15 |
$12.25 |