| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,465 |
4,044 |
$721K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,661 |
2,440 |
$397K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
324 |
323 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
208 |
206 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
129 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
130 |
125 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
85 |
84 |
$15K |
| 99383 |
|
24 |
24 |
$5K |
| 99384 |
|
15 |
14 |
$3K |
| 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 |
384 |
260 |
$705.22 |
| 90651 |
|
92 |
91 |
$185.55 |
| 90686 |
|
458 |
449 |
$0.01 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,319 |
1,290 |
$0.01 |
| 90619 |
|
32 |
31 |
$0.00 |
| 90620 |
|
12 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$0.00 |
| 81003 |
|
200 |
192 |
$0.00 |
| 90461 |
|
679 |
668 |
$0.00 |
| 90734 |
|
71 |
71 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
115 |
113 |
$0.00 |
| 90715 |
|
32 |
31 |
$0.00 |
| 90700 |
|
16 |
16 |
$0.00 |