| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,374 |
5,517 |
$327K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,838 |
2,635 |
$186K |
| 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 |
1,174 |
910 |
$16K |
| 87428 |
|
354 |
325 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
289 |
271 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
383 |
362 |
$5K |
| 90686 |
|
346 |
331 |
$4K |
| 3008F |
|
987 |
940 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 3079F |
|
396 |
382 |
$2K |
| 3074F |
|
439 |
420 |
$2K |
| 1036F |
|
1,040 |
947 |
$2K |
| 3078F |
|
336 |
325 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
16 |
$1K |
| 3075F |
|
172 |
166 |
$1K |
| 99177 |
|
212 |
211 |
$855.45 |
| 1034F |
|
338 |
313 |
$600.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$599.89 |
| 1000F |
|
651 |
628 |
$575.00 |
| 99000 |
|
153 |
143 |
$460.00 |
| 0012A |
|
16 |
16 |
$455.00 |
| 4000F |
|
148 |
140 |
$400.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
29 |
$360.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
177 |
173 |
$281.99 |
| 3351F |
|
676 |
662 |
$175.00 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
27 |
24 |
$140.22 |
| 99173 |
|
38 |
37 |
$81.51 |
| 1170F |
|
73 |
65 |
$75.00 |
| 81003 |
|
13 |
13 |
$20.25 |
| 91301 |
|
36 |
36 |
$0.30 |
| G0008 |
Administration of influenza virus vaccine |
19 |
14 |
$0.00 |
| 3017F |
|
103 |
98 |
$0.00 |
| 2022F |
|
54 |
52 |
$0.00 |
| 4004F |
|
53 |
52 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$0.00 |