| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,266 |
3,016 |
$265K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,953 |
1,721 |
$162K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
22 |
20 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
14 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20 |
13 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
280 |
245 |
$507.90 |
| 85018 |
|
13 |
12 |
$300.18 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
75 |
55 |
$200.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
320 |
261 |
$0.00 |
| 97803 |
|
501 |
403 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
158 |
139 |
$0.00 |
| 1160F |
|
249 |
207 |
$0.00 |
| 1159F |
|
255 |
211 |
$0.00 |
| 3725F |
|
242 |
221 |
$0.00 |
| 92081 |
|
81 |
69 |
$0.00 |
| 90715 |
|
23 |
17 |
$0.00 |
| 90658 |
|
50 |
47 |
$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 |
155 |
139 |
$0.00 |
| 92551 |
|
132 |
117 |
$0.00 |
| 3008F |
|
80 |
64 |
$0.00 |
| 90656 |
|
19 |
17 |
$0.00 |