| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,728 |
2,424 |
$116K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
437 |
420 |
$26K |
| 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 |
77 |
64 |
$14K |
| 80053 |
Comprehensive metabolic panel |
590 |
553 |
$13K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
194 |
180 |
$4K |
| 80061 |
Lipid panel |
126 |
122 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
339 |
303 |
$4K |
| 85027 |
|
172 |
165 |
$3K |
| 99442 |
|
61 |
51 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
15 |
15 |
$839.75 |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
15 |
$765.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
71 |
70 |
$687.70 |
| 86803 |
|
13 |
13 |
$583.34 |
| 90480 |
|
12 |
12 |
$496.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
28 |
$480.47 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
15 |
14 |
$226.23 |