| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,553 |
1,943 |
$210K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,239 |
2,630 |
$161K |
| 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 |
2,002 |
1,655 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
2,295 |
1,936 |
$1K |
| 81003 |
|
792 |
646 |
$38.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
217 |
107 |
$21.47 |
| 1036F |
|
1,241 |
1,029 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
336 |
274 |
$0.00 |
| 3074F |
|
1,721 |
1,446 |
$0.00 |
| 1220F |
|
1,206 |
945 |
$0.00 |
| 3008F |
|
2,178 |
1,778 |
$0.00 |
| 1125F |
|
857 |
682 |
$0.00 |
| 1126F |
|
793 |
671 |
$0.00 |
| 3048F |
|
48 |
33 |
$0.00 |
| 3079F |
|
515 |
413 |
$0.00 |
| 1000F |
|
27 |
24 |
$0.00 |
| 3075F |
|
147 |
123 |
$0.00 |
| 1034F |
|
79 |
62 |
$0.00 |
| 3044F |
|
89 |
71 |
$0.00 |
| 97802 |
|
32 |
14 |
$0.00 |
| 90674 |
|
27 |
25 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
22 |
18 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| 3078F |
|
1,270 |
1,076 |
$0.00 |
| 1160F |
|
2,024 |
1,499 |
$0.00 |
| 1159F |
|
2,041 |
1,501 |
$0.00 |
| 4004F |
|
133 |
87 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
105 |
89 |
$0.00 |