| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,198 |
10,243 |
$1.01M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,869 |
9,890 |
$775K |
| 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 |
4,230 |
3,769 |
$66K |
| 99215 |
Prolong outpt/office vis |
168 |
138 |
$18K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
122 |
106 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
178 |
100 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
15 |
13 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
24 |
$778.35 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
29 |
$513.59 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$449.48 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
21 |
21 |
$337.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
16 |
$221.01 |
| 85018 |
|
32 |
31 |
$84.15 |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
28 |
24 |
$53.41 |
| 81003 |
|
15 |
13 |
$18.00 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
15 |
$0.00 |