| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,574 |
1,985 |
$180K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,324 |
1,098 |
$115K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
596 |
544 |
$44K |
| 97803 |
|
795 |
533 |
$8K |
| 85018 |
|
646 |
555 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
52 |
48 |
$639.09 |
| 80061 |
Lipid panel |
47 |
41 |
$474.25 |
| 86592 |
|
28 |
26 |
$474.25 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
26 |
24 |
$474.25 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
195 |
169 |
$196.00 |
| 90734 |
|
21 |
15 |
$103.86 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
53 |
50 |
$94.85 |
| 3725F |
|
162 |
140 |
$0.00 |
| 1160F |
|
196 |
138 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
102 |
90 |
$0.00 |
| 1159F |
|
199 |
140 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
80 |
44 |
$0.00 |
| 99173 |
|
23 |
12 |
$0.00 |
| 92551 |
|
117 |
77 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
57 |
29 |
$0.00 |
| 3008F |
|
113 |
95 |
$0.00 |
| 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 |
17 |
17 |
$0.00 |