| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,589 |
4,389 |
$513K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,363 |
944 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
381 |
311 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
304 |
258 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
126 |
110 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
103 |
$14K |
| 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 |
1,706 |
1,242 |
$10K |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
236 |
153 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
19 |
15 |
$2K |
| 0001A |
|
144 |
105 |
$1K |
| 0002A |
|
119 |
91 |
$860.88 |
| 0012A |
|
128 |
85 |
$681.53 |
| 99401 |
|
432 |
321 |
$290.66 |
| 36415 |
Collection of venous blood by venipuncture |
1,340 |
1,050 |
$239.62 |
| 0011A |
|
14 |
13 |
$42.25 |
| 90649 |
|
31 |
25 |
$20.01 |
| 82947 |
|
337 |
211 |
$3.54 |
| 1126F |
|
245 |
210 |
$0.00 |
| 82962 |
|
20 |
16 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
873 |
682 |
$0.00 |
| 3074F |
|
482 |
420 |
$0.00 |
| 3008F |
|
608 |
448 |
$0.00 |
| 87276 |
|
103 |
91 |
$0.00 |
| 85018 |
|
1,891 |
1,483 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
262 |
200 |
$0.00 |
| 92567 |
|
570 |
498 |
$0.00 |
| 1125F |
|
48 |
45 |
$0.00 |
| 3079F |
|
61 |
56 |
$0.00 |
| 2001F |
|
30 |
26 |
$0.00 |
| 90654 |
|
35 |
16 |
$0.00 |
| 3351F |
|
184 |
104 |
$0.00 |
| 90651 |
|
38 |
23 |
$0.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
163 |
126 |
$0.00 |
| 86592 |
|
23 |
12 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
34 |
13 |
$0.00 |
| 81001 |
|
36 |
28 |
$0.00 |
| 92551 |
|
30 |
16 |
$0.00 |
| 90674 |
|
60 |
22 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$0.00 |
| 81025 |
|
314 |
199 |
$0.00 |
| 81002 |
|
838 |
698 |
$0.00 |
| 3725F |
|
69 |
65 |
$0.00 |
| 99408 |
|
50 |
46 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
409 |
319 |
$0.00 |
| 92553 |
|
284 |
174 |
$0.00 |
| 99173 |
|
1,501 |
1,188 |
$0.00 |
| 81003 |
|
75 |
43 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
34 |
13 |
$0.00 |
| 1160F |
|
38 |
38 |
$0.00 |
| 90734 |
|
52 |
32 |
$0.00 |
| 3078F |
|
378 |
330 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
122 |
113 |
$0.00 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
59 |
56 |
$0.00 |
| 1159F |
|
38 |
38 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
210 |
187 |
$0.00 |
| 90648 |
|
14 |
12 |
$0.00 |
| 99071 |
|
18 |
14 |
$0.00 |
| 87275 |
|
98 |
86 |
$0.00 |
| 90670 |
|
16 |
12 |
$0.00 |
| 86703 |
|
23 |
12 |
$0.00 |
| 90715 |
|
31 |
16 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
14 |
$0.00 |
| 90633 |
|
14 |
12 |
$0.00 |