| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,591 |
2,344 |
$401K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,274 |
1,189 |
$207K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
425 |
416 |
$81K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
248 |
248 |
$48K |
| 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 |
569 |
463 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
675 |
664 |
$0.00 |
| 90734 |
|
25 |
24 |
$0.00 |
| 90461 |
|
310 |
303 |
$0.00 |
| 81003 |
|
45 |
43 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90651 |
|
137 |
134 |
$0.00 |
| 90620 |
|
35 |
33 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$0.00 |
| 90619 |
|
102 |
97 |
$0.00 |
| 90686 |
|
213 |
208 |
$0.00 |