| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,265 |
8,410 |
$1.47M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,878 |
1,716 |
$272K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
676 |
653 |
$117K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
502 |
497 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
447 |
436 |
$82K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
142 |
139 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
96 |
94 |
$17K |
| 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 |
1,456 |
1,158 |
$6K |
| 99383 |
|
24 |
24 |
$5K |
| 99384 |
|
13 |
13 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,172 |
2,125 |
$550.62 |
| 90651 |
|
332 |
320 |
$371.10 |
| 81003 |
|
584 |
561 |
$3.00 |
| 90686 |
|
809 |
798 |
$0.01 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
67 |
67 |
$0.01 |
| 90734 |
|
176 |
170 |
$0.00 |
| 90461 |
|
1,059 |
1,041 |
$0.00 |
| 90715 |
|
90 |
87 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
222 |
221 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 81025 |
|
13 |
13 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90619 |
|
98 |
97 |
$0.00 |
| 90620 |
|
97 |
96 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
93 |
87 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$0.00 |