| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,330 |
3,738 |
$233K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
497 |
478 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
445 |
418 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
353 |
300 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
139 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
88 |
$8K |
| 92551 |
|
728 |
695 |
$7K |
| 90670 |
|
271 |
249 |
$7K |
| 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 |
513 |
375 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
432 |
192 |
$5K |
| 90686 |
|
429 |
393 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
364 |
348 |
$5K |
| 99173 |
|
1,083 |
1,039 |
$3K |
| 85018 |
|
1,137 |
1,080 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
29 |
27 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,409 |
1,268 |
$2K |
| 90461 |
|
693 |
621 |
$1K |
| 90733 |
|
27 |
25 |
$1K |
| 90651 |
|
42 |
39 |
$1K |
| 90633 |
|
69 |
67 |
$903.99 |
| 90685 |
|
66 |
60 |
$714.43 |
| 90680 |
|
60 |
58 |
$708.60 |
| 90648 |
|
58 |
53 |
$549.11 |
| 99000 |
|
177 |
161 |
$393.16 |
| 36416 |
|
1,097 |
1,032 |
$253.95 |
| 90715 |
|
15 |
15 |
$226.29 |
| 36415 |
Collection of venous blood by venipuncture |
75 |
69 |
$116.53 |
| 96127 |
|
12 |
12 |
$58.56 |
| 81002 |
|
14 |
13 |
$33.16 |
| 3074F |
|
35 |
33 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |
| 3079F |
|
15 |
14 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |