| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
687 |
523 |
$32K |
| 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 |
123 |
109 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
155 |
127 |
$13K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
379 |
342 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
12 |
$1K |
| 2000F |
|
14 |
14 |
$0.00 |
| 90686 |
|
67 |
63 |
$0.00 |
| 2001F |
|
14 |
14 |
$0.00 |
| 2010F |
|
14 |
14 |
$0.00 |
| 3008F |
|
14 |
14 |
$0.00 |
| 90461 |
|
139 |
137 |
$0.00 |