| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,264 |
6,916 |
$558K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,000 |
927 |
$78K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
155 |
145 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$608.74 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$529.92 |
| 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 |
121 |
57 |
$486.63 |
| 0001A |
|
21 |
20 |
$321.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
62 |
57 |
$280.00 |
| 81002 |
|
579 |
533 |
$188.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
196 |
182 |
$112.09 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
139 |
129 |
$92.32 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
44 |
42 |
$69.74 |
| 1126F |
|
2,836 |
2,512 |
$48.29 |
| 3016F |
|
2,038 |
1,825 |
$28.36 |
| 85018 |
|
57 |
57 |
$17.09 |
| 1000F |
|
6,497 |
5,263 |
$14.19 |
| 36415 |
Collection of venous blood by venipuncture |
569 |
525 |
$9.23 |
| 3074F |
|
4,059 |
3,638 |
$5.54 |
| 3078F |
|
3,604 |
3,118 |
$0.03 |
| 1125F |
|
1,182 |
1,042 |
$0.02 |
| 1220F |
|
4,648 |
4,061 |
$0.00 |
| 3079F |
|
1,115 |
971 |
$0.00 |
| 3075F |
|
566 |
540 |
$0.00 |
| 1034F |
|
818 |
640 |
$0.00 |
| 1036F |
|
5,150 |
4,203 |
$0.00 |
| 36416 |
|
88 |
86 |
$0.00 |
| 3044F |
|
200 |
197 |
$0.00 |
| 3080F |
|
20 |
12 |
$0.00 |
| 92551 |
|
14 |
14 |
$0.00 |
| 1158F |
|
1,424 |
1,255 |
$0.00 |
| 99173 |
|
41 |
41 |
$0.00 |
| 1159F |
|
4,326 |
3,722 |
$0.00 |
| 3077F |
|
76 |
41 |
$0.00 |
| 3288F |
|
521 |
465 |
$0.00 |