| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,798 |
3,611 |
$271K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,729 |
3,347 |
$165K |
| 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 |
999 |
782 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
282 |
235 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,081 |
2,875 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
48 |
47 |
$4K |
| 90672 |
|
268 |
264 |
$3K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
37 |
35 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
17 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
214 |
205 |
$2K |
| 90688 |
|
130 |
126 |
$2K |
| 90651 |
|
35 |
35 |
$1K |
| 90619 |
|
28 |
27 |
$1K |
| 99000 |
|
436 |
415 |
$1K |
| 0011A |
|
81 |
80 |
$1K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
17 |
$1K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
37 |
35 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
701 |
662 |
$1K |
| 92551 |
|
104 |
103 |
$998.56 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16 |
14 |
$851.51 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$842.49 |
| 90686 |
|
83 |
79 |
$835.23 |
| 99402 |
|
38 |
36 |
$619.94 |
| 0134A |
|
13 |
13 |
$520.00 |
| 99173 |
|
150 |
149 |
$365.56 |
| 85018 |
|
131 |
121 |
$271.14 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
166 |
161 |
$246.52 |
| 81002 |
|
90 |
81 |
$219.04 |
| 80061 |
Lipid panel |
13 |
13 |
$174.07 |
| 90461 |
|
103 |
100 |
$144.28 |
| 90658 |
|
13 |
12 |
$82.88 |
| 97803 |
|
37 |
36 |
$54.00 |
| 90473 |
|
157 |
155 |
$34.01 |
| 36416 |
|
135 |
127 |
$15.41 |
| 91301 |
|
102 |
101 |
$0.37 |
| 91313 |
|
32 |
32 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |
| 91307 |
|
32 |
29 |
$0.00 |
| 90474 |
|
12 |
12 |
$0.00 |
| 3008F |
|
16 |
16 |
$0.00 |