| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
940 |
856 |
$21K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
621 |
618 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
33 |
33 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
101 |
100 |
$2K |
| H1000 |
Prenatal care, at-risk assessment |
40 |
38 |
$1K |
| 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 |
1,100 |
887 |
$976.17 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$867.11 |
| 99188 |
|
38 |
38 |
$699.96 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
26 |
$145.71 |
| 82962 |
|
19 |
12 |
$13.38 |
| 3008F |
|
2,573 |
2,179 |
$0.00 |
| 1170F |
|
21 |
21 |
$0.00 |
| 1036F |
|
161 |
125 |
$0.00 |
| 1000F |
|
350 |
245 |
$0.00 |
| 92551 |
|
311 |
286 |
$0.00 |
| 90686 |
|
112 |
112 |
$0.00 |
| 3353F |
|
15 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
26 |
$0.00 |
| 3074F |
|
97 |
96 |
$0.00 |
| 1126F |
|
14 |
14 |
$0.00 |
| 3079F |
|
17 |
13 |
$0.00 |
| 99173 |
|
386 |
359 |
$0.00 |
| 0502F |
|
21 |
14 |
$0.00 |
| 3078F |
|
69 |
41 |
$0.00 |
| 3725F |
|
80 |
62 |
$0.00 |
| 1160F |
|
34 |
34 |
$0.00 |
| 90655 |
|
13 |
13 |
$0.00 |
| 4004F |
|
23 |
15 |
$0.00 |
| 1159F |
|
34 |
34 |
$0.00 |
| 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 |
15 |
12 |
$0.00 |