| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,001 |
4,616 |
$814K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,714 |
4,406 |
$759K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
528 |
519 |
$99K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
383 |
372 |
$71K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
317 |
309 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
93 |
90 |
$17K |
| 99384 |
|
85 |
83 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
71 |
$13K |
| 99383 |
|
27 |
27 |
$5K |
| 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 |
868 |
692 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
14 |
14 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,937 |
1,899 |
$371.13 |
| 90686 |
|
496 |
490 |
$0.01 |
| 90651 |
|
388 |
380 |
$0.00 |
| 90620 |
|
173 |
169 |
$0.00 |
| 90619 |
|
253 |
248 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$0.00 |
| 90461 |
|
1,022 |
997 |
$0.00 |
| 90734 |
|
208 |
202 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
67 |
$0.00 |
| 81003 |
|
243 |
230 |
$0.00 |
| 90715 |
|
112 |
107 |
$0.00 |
| 90710 |
|
28 |
27 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |