| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,982 |
6,446 |
$258K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
230 |
216 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
287 |
259 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,675 |
1,601 |
$5K |
| 90686 |
|
374 |
368 |
$4K |
| 80305 |
|
292 |
223 |
$3K |
| 92552 |
|
202 |
200 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
374 |
367 |
$3K |
| 90688 |
|
218 |
217 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
32 |
31 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
40 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
28 |
$2K |
| 96127 |
|
694 |
660 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
15 |
$932.54 |
| 90715 |
|
25 |
24 |
$517.12 |
| 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 |
70 |
65 |
$104.10 |
| 3008F |
|
29 |
29 |
$0.00 |
| 3074F |
|
12 |
12 |
$0.00 |
| 3079F |
|
12 |
12 |
$0.00 |
| 1160F |
|
1,456 |
1,360 |
$0.00 |
| 1159F |
|
1,169 |
1,105 |
$0.00 |