| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,101 |
21,971 |
$6.11M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,998 |
10,255 |
$2.74M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,599 |
1,487 |
$396K |
| X5622 |
|
891 |
848 |
$234K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
652 |
635 |
$143K |
| 99442 |
|
449 |
413 |
$94K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
7,779 |
7,412 |
$66K |
| 99441 |
|
222 |
216 |
$46K |
| 99443 |
|
156 |
151 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
76 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
119 |
113 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
154 |
$24K |
| 99201 |
|
50 |
49 |
$10K |
| 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 |
153 |
113 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
26 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
56 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
14 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
8,502 |
7,576 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 82947 |
|
6,239 |
5,024 |
$579.26 |
| 91320 |
|
112 |
109 |
$338.10 |
| 90686 |
|
681 |
668 |
$286.37 |
| 36415 |
Collection of venous blood by venipuncture |
7,193 |
6,412 |
$236.02 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,473 |
1,387 |
$159.86 |
| 81002 |
|
4,563 |
3,770 |
$110.33 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
161 |
157 |
$58.07 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
177 |
174 |
$44.40 |
| 87210 |
|
2,143 |
1,995 |
$39.31 |
| 90656 |
|
57 |
57 |
$27.72 |
| 87430 |
|
760 |
722 |
$25.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
102 |
98 |
$15.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,368 |
1,274 |
$7.68 |
| 85018 |
|
1,175 |
1,088 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
461 |
382 |
$0.00 |
| 92551 |
|
944 |
884 |
$0.00 |
| 93000 |
|
16 |
14 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
112 |
100 |
$0.00 |
| 96127 |
|
89 |
86 |
$0.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$0.00 |
| 87428 |
|
12 |
12 |
$0.00 |
| 82044 |
|
14 |
12 |
$0.00 |
| 81025 |
|
1,455 |
1,373 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
151 |
150 |
$0.00 |
| 99188 |
|
163 |
158 |
$0.00 |
| 99173 |
|
869 |
812 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
120 |
117 |
$0.00 |
| 90746 |
|
27 |
26 |
$0.00 |