| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,139 |
4,782 |
$891K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,831 |
4,575 |
$835K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,738 |
1,712 |
$321K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,321 |
1,310 |
$245K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,169 |
1,140 |
$217K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
373 |
359 |
$69K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
290 |
285 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
150 |
146 |
$27K |
| 99383 |
|
59 |
58 |
$11K |
| 99384 |
|
57 |
53 |
$10K |
| 99381 |
|
13 |
13 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,309 |
4,254 |
$385.43 |
| 81003 |
|
234 |
227 |
$1.00 |
| 90686 |
|
1,659 |
1,630 |
$0.00 |
| 90651 |
|
665 |
654 |
$0.00 |
| 90697 |
|
141 |
141 |
$0.00 |
| 90677 |
|
145 |
145 |
$0.00 |
| 90620 |
|
199 |
195 |
$0.00 |
| 90619 |
|
262 |
255 |
$0.00 |
| 90698 |
|
153 |
152 |
$0.00 |
| 90744 |
|
55 |
53 |
$0.00 |
| 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 |
50 |
38 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
366 |
359 |
$0.00 |
| 90670 |
|
395 |
393 |
$0.00 |
| 90461 |
|
2,571 |
2,544 |
$0.00 |
| 90734 |
|
311 |
308 |
$0.00 |
| 90710 |
|
145 |
141 |
$0.00 |
| 90633 |
|
360 |
356 |
$0.00 |
| 90700 |
|
241 |
239 |
$0.00 |
| 90715 |
|
231 |
224 |
$0.00 |
| 90685 |
|
76 |
76 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |