| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,315 |
1,108 |
$178K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
403 |
367 |
$56K |
| 0012A |
|
80 |
79 |
$12K |
| 0011A |
|
54 |
53 |
$9K |
| 99441 |
|
38 |
32 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
28 |
$4K |
| 91301 |
|
15 |
13 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
20 |
$3K |
| 99442 |
|
12 |
12 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
124 |
115 |
$733.56 |
| 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 |
36 |
28 |
$565.64 |
| 0013A |
|
13 |
13 |
$538.86 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
33 |
33 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$0.00 |
| 90688 |
|
15 |
15 |
$0.00 |
| 90686 |
|
20 |
20 |
$0.00 |