| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,319 |
1,092 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,117 |
905 |
$30K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
72 |
52 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
25 |
$2K |
| 81002 |
|
1,968 |
1,151 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,232 |
1,970 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
13 |
$520.00 |
| 3078F |
|
1,309 |
1,106 |
$483.75 |
| 3074F |
|
1,289 |
1,119 |
$425.00 |
| 81025 |
|
111 |
56 |
$181.41 |
| 93000 |
|
28 |
26 |
$154.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$118.02 |
| 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 |
143 |
106 |
$114.13 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
90 |
63 |
$105.47 |
| 3008F |
|
1,689 |
1,368 |
$50.44 |
| 81001 |
|
34 |
30 |
$25.99 |
| 2010F |
|
213 |
147 |
$19.79 |
| 1126F |
|
887 |
785 |
$19.79 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
12 |
$6.50 |
| 1000F |
|
1,648 |
1,382 |
$0.00 |
| 1220F |
|
1,654 |
1,420 |
$0.00 |
| 2001F |
|
1,920 |
1,569 |
$0.00 |
| 2000F |
|
1,647 |
1,364 |
$0.00 |
| 3044F |
|
128 |
115 |
$0.00 |
| 1125F |
|
103 |
78 |
$0.00 |
| 3351F |
|
41 |
38 |
$0.00 |
| 3079F |
|
37 |
26 |
$0.00 |
| 1111F |
|
36 |
34 |
$0.00 |
| 1157F |
|
22 |
14 |
$0.00 |
| 4000F |
|
17 |
17 |
$0.00 |
| 94760 |
|
17 |
12 |
$0.00 |
| 1160F |
|
358 |
299 |
$0.00 |
| 1159F |
|
372 |
312 |
$0.00 |
| 1033F |
|
210 |
195 |
$0.00 |
| 3725F |
|
81 |
75 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
24 |
24 |
$0.00 |
| 1018F |
|
51 |
45 |
$0.00 |
| 0521F |
|
17 |
16 |
$0.00 |
| 2022F |
|
27 |
27 |
$0.00 |