| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,948 |
2,877 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
774 |
533 |
$13K |
| 99385 |
|
137 |
129 |
$13K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
1,322 |
861 |
$4K |
| 99386 |
|
32 |
28 |
$3K |
| 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 |
2,415 |
1,618 |
$3K |
| H1000 |
Prenatal care, at-risk assessment |
21 |
19 |
$2K |
| 90746 |
|
85 |
83 |
$2K |
| 90632 |
|
30 |
30 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
399 |
381 |
$2K |
| 90707 |
|
78 |
72 |
$1K |
| 90715 |
|
108 |
100 |
$955.13 |
| 90716 |
|
15 |
15 |
$928.19 |
| 0052A |
|
19 |
12 |
$376.00 |
| 0051A |
|
13 |
13 |
$348.39 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
317 |
199 |
$242.00 |
| 90686 |
|
92 |
86 |
$225.97 |
| 96127 |
|
3,954 |
1,295 |
$203.98 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
229 |
227 |
$192.20 |
| 3074F |
|
2,040 |
939 |
$150.00 |
| 82962 |
|
207 |
205 |
$39.19 |
| 1159F |
|
3,125 |
1,134 |
$0.00 |
| 3078F |
|
1,874 |
821 |
$0.00 |
| 3725F |
|
1,954 |
1,251 |
$0.00 |
| 1158F |
|
1,566 |
1,102 |
$0.00 |
| 1160F |
|
3,121 |
1,134 |
$0.00 |
| 1036F |
|
1,884 |
1,218 |
$0.00 |
| 1170F |
|
1,566 |
1,106 |
$0.00 |
| 3044F |
|
200 |
199 |
$0.00 |
| 3079F |
|
392 |
186 |
$0.00 |
| 3008F |
|
1,586 |
1,042 |
$0.00 |
| 3075F |
|
135 |
76 |
$0.00 |
| 1126F |
|
2,357 |
1,070 |
$0.00 |
| 90744 |
|
57 |
56 |
$0.00 |