| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,418 |
13,654 |
$817K |
| 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 |
751 |
643 |
$168K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,687 |
1,063 |
$106K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,403 |
1,267 |
$95K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
451 |
391 |
$33K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
399 |
331 |
$27K |
| 99385 |
|
163 |
148 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
207 |
191 |
$14K |
| 99386 |
|
111 |
96 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
265 |
262 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
167 |
150 |
$5K |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
15 |
15 |
$4K |
| 93000 |
|
451 |
414 |
$4K |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
52 |
52 |
$3K |
| 81002 |
|
2,450 |
1,981 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
16 |
$2K |
| 3074F |
|
5,369 |
4,367 |
$2K |
| 99384 |
|
13 |
13 |
$2K |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
83 |
66 |
$1K |
| 92551 |
|
178 |
149 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
19 |
17 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
50 |
$955.60 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$882.30 |
| 82962 |
|
793 |
615 |
$589.38 |
| 3075F |
|
966 |
849 |
$490.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
31 |
29 |
$414.58 |
| 36415 |
Collection of venous blood by venipuncture |
168 |
145 |
$316.71 |
| 3077F |
|
1,044 |
872 |
$175.00 |
| 81025 |
|
51 |
43 |
$133.91 |
| 3044F |
|
17 |
13 |
$25.00 |
| 3008F |
|
8,818 |
7,073 |
$0.00 |
| 3080F |
|
774 |
635 |
$0.00 |
| 3079F |
|
3,050 |
2,565 |
$0.00 |
| 1055F |
|
942 |
840 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
685 |
573 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
632 |
528 |
$0.00 |
| 90620 |
|
39 |
39 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |
| 99173 |
|
167 |
134 |
$0.00 |
| 3078F |
|
3,527 |
2,965 |
$0.00 |
| 99499 |
|
5,729 |
3,837 |
$0.00 |
| 90734 |
|
59 |
59 |
$0.00 |
| 90649 |
|
37 |
37 |
$0.00 |
| 90658 |
|
44 |
44 |
$0.00 |