| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,884 |
5,115 |
$281K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
959 |
909 |
$63K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,941 |
1,893 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
256 |
256 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
210 |
209 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
361 |
321 |
$11K |
| 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 |
63 |
46 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
180 |
175 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
169 |
169 |
$10K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
550 |
536 |
$9K |
| 99051 |
|
392 |
379 |
$9K |
| T1015 |
Clinic visit/encounter, all-inclusive |
40 |
26 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
85 |
83 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
360 |
358 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
246 |
123 |
$3K |
| 99442 |
|
89 |
79 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
41 |
41 |
$3K |
| 0012A |
|
60 |
60 |
$2K |
| 0011A |
|
89 |
89 |
$2K |
| 0071A |
|
19 |
19 |
$761.63 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
86 |
85 |
$466.47 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
15 |
14 |
$351.90 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
16 |
$239.64 |
| 82962 |
|
119 |
108 |
$182.53 |
| 94760 |
|
67 |
66 |
$144.76 |
| 90473 |
|
12 |
12 |
$126.20 |
| 81002 |
|
44 |
44 |
$87.00 |
| 86580 |
|
14 |
12 |
$83.02 |
| 90686 |
|
169 |
167 |
$9.25 |