| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,903 |
13,012 |
$783K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,471 |
5,403 |
$389K |
| T1015 |
Clinic visit/encounter, all-inclusive |
18,032 |
14,337 |
$279K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,334 |
1,952 |
$74K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
778 |
674 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,589 |
1,378 |
$15K |
| 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 |
531 |
410 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
156 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
335 |
282 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
2,747 |
2,410 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
85 |
80 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
48 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
694 |
628 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
392 |
341 |
$3K |
| 87430 |
|
386 |
332 |
$3K |
| 81003 |
|
525 |
461 |
$855.71 |
| 90686 |
|
149 |
141 |
$717.44 |
| 96127 |
|
58 |
50 |
$167.49 |
| 87807 |
|
20 |
18 |
$134.96 |
| 36416 |
|
16 |
13 |
$32.69 |
| 90734 |
|
18 |
12 |
$0.00 |
| 90648 |
|
16 |
13 |
$0.00 |
| 90670 |
|
12 |
12 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
67 |
62 |
$0.00 |
| 90651 |
|
39 |
38 |
$0.00 |