| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,972 |
1,855 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
628 |
620 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
157 |
$10K |
| 96160 |
|
1,513 |
1,423 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
54 |
53 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
80 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
27 |
27 |
$1K |
| 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 |
91 |
71 |
$415.05 |
| 90756 |
|
42 |
42 |
$377.85 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
26 |
$354.80 |
| 90686 |
|
139 |
136 |
$315.00 |
| 99188 |
|
14 |
14 |
$67.20 |
| 3079F |
|
69 |
67 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
61 |
56 |
$0.00 |
| 3008F |
|
703 |
655 |
$0.00 |
| 3074F |
|
163 |
151 |
$0.00 |
| 3075F |
|
47 |
41 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| 3078F |
|
70 |
65 |
$0.00 |