| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,665 |
5,810 |
$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 |
47 |
43 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,850 |
1,766 |
$1K |
| 90686 |
|
136 |
136 |
$977.42 |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
1,321 |
861 |
$784.12 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
692 |
691 |
$673.80 |
| 99385 |
|
30 |
30 |
$541.16 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
30 |
29 |
$538.20 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
196 |
196 |
$298.42 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
87 |
85 |
$219.18 |
| 97811 |
|
1,084 |
701 |
$185.28 |
| 92551 |
|
633 |
630 |
$174.20 |
| 97810 |
|
611 |
409 |
$156.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
234 |
234 |
$80.28 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
663 |
662 |
$80.00 |
| 97814 |
|
474 |
306 |
$28.95 |
| 97813 |
|
475 |
307 |
$28.95 |
| 36415 |
Collection of venous blood by venipuncture |
1,106 |
1,086 |
$11.65 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
160 |
160 |
$0.01 |
| 3008F |
|
1,075 |
1,004 |
$0.00 |
| 98961 |
|
1,056 |
989 |
$0.00 |
| 3079F |
|
313 |
310 |
$0.00 |
| 3074F |
|
1,011 |
971 |
$0.00 |
| 3075F |
|
104 |
104 |
$0.00 |
| 3080F |
|
112 |
110 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |
| 1111F |
|
14 |
14 |
$0.00 |
| 3078F |
|
931 |
892 |
$0.00 |
| 3077F |
|
151 |
146 |
$0.00 |
| 99397 |
|
15 |
15 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
12 |
12 |
$0.00 |
| 0124A |
|
14 |
14 |
$0.00 |