| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,810 |
1,451 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
311 |
285 |
$9K |
| 11720 |
|
230 |
223 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
40 |
39 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$766.30 |
| 3074F |
|
943 |
811 |
$750.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$407.97 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$370.30 |
| 11721 |
|
15 |
13 |
$124.80 |
| 82962 |
|
188 |
165 |
$120.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
31 |
$102.00 |
| 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 |
68 |
54 |
$80.39 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
13 |
$32.08 |
| 3079F |
|
341 |
246 |
$25.22 |
| 3044F |
|
292 |
261 |
$20.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$20.00 |
| 3078F |
|
1,009 |
776 |
$12.63 |
| 3008F |
|
2,380 |
1,706 |
$0.02 |
| 2001F |
|
2,211 |
1,651 |
$0.02 |
| 1126F |
|
1,083 |
909 |
$0.02 |
| 1000F |
|
2,073 |
1,529 |
$0.02 |
| 2000F |
|
1,931 |
1,417 |
$0.02 |
| 1220F |
|
1,711 |
1,388 |
$0.01 |
| 90686 |
|
16 |
16 |
$0.00 |
| 36416 |
|
161 |
125 |
$0.00 |
| 1125F |
|
143 |
113 |
$0.00 |
| 3351F |
|
16 |
15 |
$0.00 |
| 3075F |
|
16 |
12 |
$0.00 |
| 3077F |
|
109 |
77 |
$0.00 |
| 1159F |
|
12 |
12 |
$0.00 |
| 4004F |
|
21 |
13 |
$0.00 |
| 1160F |
|
12 |
12 |
$0.00 |