| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,077 |
4,605 |
$256K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,088 |
1,025 |
$83K |
| 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 |
1,558 |
1,353 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
95 |
89 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
133 |
119 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
55 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
55 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
52 |
$3K |
| 90686 |
|
186 |
180 |
$2K |
| 3008F |
|
297 |
289 |
$2K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
107 |
105 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
91 |
90 |
$1K |
| 90670 |
|
63 |
59 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
900 |
803 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
882 |
801 |
$990.38 |
| 99000 |
|
884 |
821 |
$961.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
78 |
75 |
$679.64 |
| 85018 |
|
199 |
185 |
$481.17 |
| 96127 |
|
107 |
98 |
$441.43 |
| 99173 |
|
210 |
197 |
$424.70 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
28 |
$348.88 |
| 90648 |
|
31 |
29 |
$290.75 |
| 90461 |
|
233 |
213 |
$288.00 |
| 90633 |
|
25 |
25 |
$264.00 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
15 |
13 |
$230.09 |
| 83655 |
|
15 |
15 |
$196.42 |
| 80061 |
Lipid panel |
18 |
17 |
$187.48 |
| 90723 |
|
14 |
12 |
$171.73 |
| 90651 |
|
13 |
12 |
$110.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$87.64 |
| 36416 |
|
365 |
345 |
$51.71 |
| 82947 |
|
12 |
12 |
$36.16 |
| 94760 |
|
39 |
38 |
$22.44 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
12 |
$11.00 |