| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,662 |
3,247 |
$177K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,509 |
2,272 |
$126K |
| 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 |
1,082 |
806 |
$13K |
| 90686 |
|
732 |
697 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
41 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,616 |
1,442 |
$2K |
| 99000 |
|
1,297 |
1,202 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
33 |
32 |
$941.91 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$790.72 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
442 |
426 |
$710.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
210 |
171 |
$585.59 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$552.72 |
| 0012A |
|
19 |
17 |
$530.00 |
| 3008F |
|
823 |
725 |
$475.00 |
| 90670 |
|
39 |
37 |
$365.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
24 |
24 |
$332.58 |
| 0011A |
|
18 |
18 |
$203.57 |
| 90651 |
|
14 |
14 |
$154.00 |
| 90734 |
|
14 |
14 |
$144.00 |
| 1036F |
|
566 |
494 |
$125.00 |
| 90698 |
|
12 |
12 |
$121.00 |
| 99173 |
|
32 |
32 |
$82.52 |
| 3078F |
|
104 |
94 |
$50.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
102 |
95 |
$40.96 |
| 99177 |
|
17 |
17 |
$38.70 |
| 90694 |
|
14 |
13 |
$22.16 |
| G0008 |
Administration of influenza virus vaccine |
46 |
39 |
$20.00 |
| 91301 |
|
43 |
41 |
$0.30 |
| 1000F |
|
313 |
280 |
$0.00 |
| 3351F |
|
104 |
89 |
$0.00 |
| 4037F |
|
147 |
141 |
$0.00 |
| 3017F |
|
47 |
44 |
$0.00 |
| 3074F |
|
28 |
26 |
$0.00 |
| 1034F |
|
52 |
44 |
$0.00 |
| 4004F |
|
18 |
12 |
$0.00 |