| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,526 |
5,097 |
$268K |
| H1000 |
Prenatal care, at-risk assessment |
6,241 |
3,675 |
$255K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
852 |
805 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,352 |
1,268 |
$57K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
628 |
620 |
$50K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
379 |
376 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
401 |
363 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
248 |
245 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
117 |
115 |
$10K |
| 99381 |
|
117 |
90 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,943 |
1,850 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,317 |
1,256 |
$6K |
| 99188 |
|
926 |
905 |
$5K |
| 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 |
799 |
521 |
$4K |
| 99383 |
|
28 |
28 |
$3K |
| 59430 |
|
63 |
50 |
$2K |
| 11721 |
|
91 |
84 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$976.65 |
| 81002 |
|
2,901 |
1,808 |
$796.35 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23 |
23 |
$701.11 |
| 99385 |
|
12 |
12 |
$687.18 |
| 76815 |
Ultrasound, pregnant uterus, real time with image documentation, limited |
41 |
25 |
$630.12 |
| 90474 |
|
342 |
304 |
$606.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,282 |
1,092 |
$578.38 |
| 90697 |
|
389 |
356 |
$321.17 |
| 81025 |
|
170 |
157 |
$248.86 |
| 81003 |
|
1,539 |
729 |
$229.06 |
| 90670 |
|
683 |
637 |
$221.66 |
| 36415 |
Collection of venous blood by venipuncture |
1,796 |
1,707 |
$183.21 |
| 1036F |
|
4,075 |
3,434 |
$167.28 |
| 90686 |
|
264 |
254 |
$148.35 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$114.93 |
| 90681 |
|
273 |
250 |
$82.15 |
| 3008F |
|
7,510 |
6,290 |
$81.43 |
| 3075F |
|
267 |
256 |
$75.40 |
| 3074F |
|
3,140 |
2,997 |
$75.40 |
| 96127 |
|
994 |
935 |
$31.47 |
| 99173 |
|
1,335 |
1,117 |
$14.53 |
| 3725F |
|
4,365 |
3,666 |
$0.00 |
| 3078F |
|
2,661 |
2,268 |
$0.00 |
| 1160F |
|
1,817 |
1,730 |
$0.00 |
| 1159F |
|
1,842 |
1,751 |
$0.00 |
| 90648 |
|
260 |
246 |
$0.00 |
| 90633 |
|
205 |
205 |
$0.00 |
| T1015 |
Clinic visit/encounter, all-inclusive |
195 |
128 |
$0.00 |
| 90734 |
|
94 |
92 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 90715 |
|
33 |
31 |
$0.00 |
| 3077F |
|
115 |
110 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |
| 96160 |
|
66 |
64 |
$0.00 |
| 3079F |
|
1,490 |
1,278 |
$0.00 |
| 92551 |
|
1,354 |
1,139 |
$0.00 |
| 1126F |
|
1,658 |
1,538 |
$0.00 |
| 90723 |
|
157 |
144 |
$0.00 |
| 90620 |
|
29 |
27 |
$0.00 |
| 1125F |
|
121 |
110 |
$0.00 |
| 85018 |
|
39 |
39 |
$0.00 |
| 1034F |
|
158 |
132 |
$0.00 |
| 90716 |
|
41 |
41 |
$0.00 |
| 90651 |
|
291 |
287 |
$0.00 |
| 3080F |
|
56 |
48 |
$0.00 |
| 90688 |
|
41 |
41 |
$0.00 |