| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H1000 |
Prenatal care, at-risk assessment |
19,961 |
13,978 |
$1.91M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,108 |
5,555 |
$441K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,395 |
1,031 |
$116K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,187 |
956 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,293 |
1,702 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
88 |
$11K |
| 3074F |
|
8,226 |
4,421 |
$3K |
| 98960 |
|
285 |
231 |
$2K |
| 81025 |
|
948 |
520 |
$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 |
1,689 |
1,316 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
179 |
156 |
$681.95 |
| 90715 |
|
419 |
294 |
$493.72 |
| 36415 |
Collection of venous blood by venipuncture |
1,625 |
1,119 |
$493.29 |
| 81002 |
|
1,270 |
664 |
$425.47 |
| 3078F |
|
7,190 |
3,652 |
$231.32 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
557 |
355 |
$197.89 |
| 83037 |
|
315 |
288 |
$81.58 |
| 76819 |
Fetal biophysical profile; without non-stress testing |
44 |
12 |
$24.65 |
| 3008F |
|
5,137 |
2,578 |
$12.61 |
| 81001 |
|
999 |
502 |
$5.30 |
| 1160F |
|
2,151 |
842 |
$0.00 |
| 0502F |
|
739 |
388 |
$0.00 |
| 1159F |
|
2,151 |
841 |
$0.00 |
| 3511F |
|
448 |
180 |
$0.00 |
| 2028F |
|
19 |
13 |
$0.00 |
| 97803 |
|
25 |
12 |
$0.00 |
| 2000F |
|
9,273 |
4,725 |
$0.00 |
| 1220F |
|
5,864 |
3,396 |
$0.00 |
| 1126F |
|
5,945 |
3,425 |
$0.00 |
| 1000F |
|
5,912 |
3,657 |
$0.00 |
| 2001F |
|
10,017 |
5,162 |
$0.00 |
| 3044F |
|
122 |
102 |
$0.00 |
| 1157F |
|
184 |
39 |
$0.00 |
| 3079F |
|
306 |
218 |
$0.00 |
| 3075F |
|
39 |
28 |
$0.00 |
| 2010F |
|
101 |
13 |
$0.00 |
| 1111F |
|
14 |
12 |
$0.00 |