| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,139 |
16,884 |
$288K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,914 |
31,027 |
$264K |
| 99215 |
Prolong outpt/office vis |
1,962 |
1,940 |
$139K |
| 59425 |
|
2,386 |
1,946 |
$111K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,754 |
7,467 |
$20K |
| 90750 |
|
66 |
66 |
$12K |
| 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 |
395 |
383 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
191 |
191 |
$8K |
| 81025 |
|
2,440 |
2,410 |
$5K |
| 11721 |
|
498 |
495 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,824 |
10,743 |
$3K |
| 59430 |
|
52 |
51 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
147 |
147 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,893 |
3,885 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,316 |
1,289 |
$953.92 |
| 90656 |
|
2,608 |
2,606 |
$841.97 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,830 |
2,829 |
$712.53 |
| 87210 |
|
766 |
758 |
$598.08 |
| 90686 |
|
7,593 |
7,562 |
$447.52 |
| 90651 |
|
911 |
911 |
$312.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,526 |
1,525 |
$274.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
583 |
516 |
$134.73 |
| 81002 |
|
241 |
211 |
$118.25 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
39 |
39 |
$26.28 |
| 92551 |
|
4,773 |
4,758 |
$11.22 |
| 90746 |
|
28 |
28 |
$4.00 |
| 90658 |
|
86 |
86 |
$0.14 |
| 20610 |
|
14 |
12 |
$0.00 |
| 90723 |
|
290 |
286 |
$0.00 |
| 85018 |
|
677 |
676 |
$0.00 |
| 90716 |
|
187 |
183 |
$0.00 |
| 90647 |
|
389 |
383 |
$0.00 |
| 90696 |
|
90 |
90 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
78 |
78 |
$0.00 |
| 90680 |
|
46 |
46 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
18 |
18 |
$0.00 |
| 90688 |
|
78 |
78 |
$0.00 |
| 90670 |
|
785 |
776 |
$0.00 |
| 90633 |
|
1,471 |
1,468 |
$0.00 |
| 90710 |
|
372 |
372 |
$0.00 |
| 90734 |
|
258 |
258 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
46 |
46 |
$0.00 |
| 90715 |
|
267 |
267 |
$0.00 |
| 90700 |
|
50 |
50 |
$0.00 |
| 90707 |
|
25 |
25 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |