| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,781 |
3,268 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,316 |
5,434 |
$153K |
| 87428 |
|
251 |
235 |
$15K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
313 |
104 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
197 |
190 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,705 |
1,526 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
28 |
27 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
14 |
$744.23 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
51 |
47 |
$670.68 |
| 90686 |
|
61 |
47 |
$516.48 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
30 |
12 |
$410.22 |
| 80053 |
Comprehensive metabolic panel |
56 |
38 |
$267.23 |
| G0008 |
Administration of influenza virus vaccine |
31 |
30 |
$216.30 |
| 99406 |
|
14 |
13 |
$180.00 |
| 87807 |
|
13 |
12 |
$169.13 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
23 |
13 |
$55.50 |
| 3074F |
|
2,722 |
2,327 |
$27.55 |
| T1502 |
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
20 |
13 |
$24.00 |
| 3078F |
|
3,475 |
2,946 |
$20.02 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
12 |
$18.03 |
| 3075F |
|
264 |
231 |
$10.00 |
| 3725F |
|
120 |
108 |
$0.01 |
| 3079F |
|
74 |
66 |
$0.00 |
| 1036F |
|
1,271 |
1,084 |
$0.00 |
| 3077F |
|
16 |
15 |
$0.00 |