| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,029 |
910 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
387 |
385 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
30 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$2K |
| 99188 |
|
41 |
41 |
$755.22 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
56 |
$501.36 |
| 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 |
1,379 |
1,110 |
$487.74 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
31 |
31 |
$470.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
229 |
167 |
$466.28 |
| 90686 |
|
93 |
93 |
$230.08 |
| 3008F |
|
1,318 |
1,283 |
$0.00 |
| 92551 |
|
146 |
145 |
$0.00 |
| 3074F |
|
39 |
39 |
$0.00 |
| 1000F |
|
82 |
80 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
28 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90674 |
|
20 |
20 |
$0.00 |
| 99173 |
|
213 |
212 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.00 |
| 3725F |
|
14 |
12 |
$0.00 |
| 3078F |
|
27 |
25 |
$0.00 |
| 1159F |
|
15 |
15 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
16 |
13 |
$0.00 |
| 1160F |
|
15 |
15 |
$0.00 |