| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,691 |
4,130 |
$298K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,911 |
2,608 |
$127K |
| 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 |
312 |
258 |
$56K |
| T1015 |
Clinic visit/encounter, all-inclusive |
198 |
175 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
665 |
614 |
$20K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,131 |
1,082 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,641 |
1,605 |
$15K |
| 80053 |
Comprehensive metabolic panel |
440 |
405 |
$10K |
| 80061 |
Lipid panel |
285 |
267 |
$9K |
| 90480 |
|
246 |
243 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
383 |
312 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
224 |
216 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
65 |
60 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
63 |
61 |
$4K |
| 0064A |
|
67 |
66 |
$2K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
16 |
12 |
$1K |
| 84439 |
|
40 |
40 |
$1K |
| 90750 |
|
13 |
13 |
$1K |
| 0134A |
|
40 |
38 |
$1K |
| 0124A |
|
29 |
29 |
$987.80 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
59 |
58 |
$817.50 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$471.51 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
12 |
$209.55 |
| 82248 |
|
13 |
12 |
$131.69 |
| 86701 |
|
15 |
13 |
$97.46 |
| 90686 |
|
198 |
190 |
$91.75 |
| 90674 |
|
16 |
16 |
$7.00 |