| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,892 |
7,659 |
$1.42M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,414 |
4,580 |
$826K |
| 99441 |
|
809 |
759 |
$139K |
| 99442 |
|
696 |
653 |
$119K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
609 |
581 |
$105K |
| 0011A |
|
236 |
234 |
$38K |
| 0012A |
|
216 |
215 |
$35K |
| 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 |
858 |
613 |
$35K |
| 99443 |
|
195 |
170 |
$32K |
| 0013A |
|
111 |
103 |
$14K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
88 |
87 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
72 |
71 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
726 |
713 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
626 |
620 |
$7K |
| 0071A |
|
36 |
36 |
$6K |
| 0072A |
|
32 |
32 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
25 |
$5K |
| 91301 |
|
19 |
19 |
$3K |
| 0031A |
|
21 |
20 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
15 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
32 |
24 |
$2K |
| 0144A |
|
16 |
14 |
$2K |
| 87428 |
|
158 |
155 |
$2K |
| 81025 |
|
116 |
114 |
$1K |
| 0064A |
|
13 |
13 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
693 |
686 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
675 |
669 |
$938.95 |
| 81002 |
|
91 |
86 |
$919.70 |
| Q3014 |
Telehealth originating site facility fee |
168 |
154 |
$859.74 |
| 80061 |
Lipid panel |
526 |
525 |
$776.67 |
| 80053 |
Comprehensive metabolic panel |
902 |
897 |
$760.79 |
| 36415 |
Collection of venous blood by venipuncture |
686 |
675 |
$711.05 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
32 |
31 |
$173.84 |
| 90688 |
|
506 |
499 |
$107.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
17 |
$0.00 |
| 82570 |
|
42 |
42 |
$0.00 |
| 86703 |
|
29 |
29 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$0.00 |
| 90658 |
|
13 |
13 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$0.00 |
| 82043 |
|
39 |
39 |
$0.00 |
| H0048 |
Alcohol and/or other drug testing: collection and handling only, specimens other than blood |
28 |
27 |
$0.00 |
| 90686 |
|
23 |
23 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$0.00 |