| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,160 |
2,537 |
$101K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
537 |
474 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,048 |
956 |
$11K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
78 |
67 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
123 |
118 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
40 |
39 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
138 |
131 |
$2K |
| 81002 |
|
673 |
418 |
$2K |
| 92551 |
|
204 |
197 |
$1K |
| 90686 |
|
184 |
173 |
$1K |
| 90688 |
|
241 |
221 |
$981.80 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
12 |
$907.69 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
13 |
$727.74 |
| 99173 |
|
155 |
144 |
$677.49 |
| 36415 |
Collection of venous blood by venipuncture |
480 |
408 |
$634.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$386.02 |
| 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 |
33 |
27 |
$308.00 |
| 3008F |
|
598 |
525 |
$80.00 |
| 99177 |
|
17 |
17 |
$77.14 |
| 3078F |
|
219 |
198 |
$60.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
16 |
$55.38 |
| 3074F |
|
265 |
246 |
$50.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
16 |
$41.50 |
| 3079F |
|
13 |
12 |
$0.00 |
| 0502F |
|
72 |
53 |
$0.00 |