| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,212 |
2,037 |
$452K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,372 |
2,165 |
$426K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
28 |
$6K |
| 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 |
179 |
161 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
695 |
675 |
$890.12 |
| 99407 |
|
159 |
104 |
$447.06 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,321 |
1,229 |
$26.33 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
31 |
31 |
$0.00 |
| 90682 |
|
58 |
57 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
54 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
40 |
40 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
38 |
$0.00 |
| 90688 |
|
143 |
137 |
$0.00 |
| 85018 |
|
13 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
40 |
39 |
$0.00 |
| 90673 |
|
21 |
21 |
$0.00 |
| 3008F |
|
97 |
93 |
$0.00 |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
15 |
14 |
$0.00 |
| 82962 |
|
15 |
12 |
$0.00 |