| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,544 |
3,569 |
$639K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,516 |
2,262 |
$371K |
| 98967 |
|
288 |
261 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
274 |
241 |
$45K |
| 0031A |
|
64 |
60 |
$10K |
| 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 |
319 |
226 |
$4K |
| 0134A |
|
45 |
44 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
473 |
332 |
$3K |
| 98966 |
|
15 |
15 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$2K |
| 98968 |
|
12 |
12 |
$2K |
| 99000 |
|
684 |
637 |
$315.06 |
| 80305 |
|
2,541 |
2,025 |
$46.40 |
| 90686 |
|
173 |
168 |
$24.06 |
| 36415 |
Collection of venous blood by venipuncture |
484 |
455 |
$17.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
352 |
332 |
$1.12 |
| 91313 |
|
44 |
44 |
$0.00 |
| 91322 |
|
17 |
13 |
$0.00 |
| 91300 |
|
42 |
21 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |
| 90658 |
|
18 |
14 |
$0.00 |
| 82962 |
|
36 |
26 |
$0.00 |
| 99406 |
|
39 |
38 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
25 |
24 |
$0.00 |
| 91303 |
|
19 |
19 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
39 |
26 |
$0.00 |