| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,458 |
5,869 |
$1.00M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,634 |
1,441 |
$209K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
334 |
328 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
238 |
221 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
138 |
$25K |
| 99384 |
|
116 |
115 |
$23K |
| 99383 |
|
57 |
53 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
56 |
$9K |
| 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 |
1,307 |
996 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,155 |
1,127 |
$738.74 |
| 90651 |
|
185 |
184 |
$185.55 |
| 81025 |
|
238 |
223 |
$166.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
44 |
$0.01 |
| 90686 |
|
339 |
335 |
$0.01 |
| 90620 |
|
115 |
114 |
$0.00 |
| 90619 |
|
99 |
98 |
$0.00 |
| 81003 |
|
1,029 |
981 |
$0.00 |
| 90461 |
|
564 |
555 |
$0.00 |
| 90715 |
|
86 |
86 |
$0.00 |
| 90734 |
|
97 |
97 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90700 |
|
30 |
30 |
$0.00 |