| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
267 |
182 |
$50K |
| 520 |
|
180 |
162 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
376 |
276 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
103 |
85 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
18 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
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 |
43 |
39 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
101 |
96 |
$820.97 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
44 |
42 |
$728.03 |
| 36415 |
Collection of venous blood by venipuncture |
187 |
157 |
$471.52 |
| 81003 |
|
203 |
137 |
$235.76 |
| 99173 |
|
12 |
12 |
$0.00 |
| 90670 |
|
14 |
13 |
$0.00 |
| 36416 |
|
39 |
29 |
$0.00 |
| 85018 |
|
77 |
65 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |