| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,090 |
2,710 |
$129K |
| 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 |
240 |
91 |
$43K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
654 |
633 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,188 |
899 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
334 |
324 |
$19K |
| 80050 |
General health panel |
365 |
358 |
$18K |
| 80061 |
Lipid panel |
431 |
417 |
$13K |
| 80053 |
Comprehensive metabolic panel |
186 |
171 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
321 |
243 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
33 |
28 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
258 |
252 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
183 |
170 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
48 |
41 |
$772.80 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$752.70 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
49 |
49 |
$607.71 |
| 81001 |
|
61 |
56 |
$433.83 |
| 82947 |
|
154 |
152 |
$423.22 |
| 82728 |
|
13 |
12 |
$419.38 |
| 99442 |
|
12 |
12 |
$347.64 |
| 82948 |
|
117 |
110 |
$273.06 |
| 83550 |
|
13 |
12 |
$268.73 |
| 83540 |
|
13 |
12 |
$199.46 |
| 81003 |
|
16 |
16 |
$82.14 |
| 90686 |
|
15 |
12 |
$6.50 |
| 90674 |
|
13 |
12 |
$5.71 |