| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
645 |
488 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
368 |
290 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
632 |
467 |
$55K |
| 520 |
|
217 |
201 |
$42K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
70 |
40 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
494 |
402 |
$2K |
| 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 |
71 |
64 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
65 |
58 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
148 |
137 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
45 |
26 |
$943.04 |
| 90686 |
|
21 |
18 |
$38.06 |
| 81003 |
|
237 |
159 |
$0.00 |
| 92015 |
Determination of refractive state |
21 |
21 |
$0.00 |
| 90670 |
|
15 |
15 |
$0.00 |
| 99173 |
|
19 |
14 |
$0.00 |
| 85018 |
|
15 |
12 |
$0.00 |
| 92551 |
|
19 |
14 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |