| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
7,131 |
6,261 |
$405K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,001 |
4,555 |
$265K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,298 |
3,054 |
$201K |
| 99354 |
|
295 |
273 |
$21K |
| 80053 |
Comprehensive metabolic panel |
2,333 |
2,175 |
$17K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,183 |
2,019 |
$13K |
| 80061 |
Lipid panel |
1,310 |
1,208 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,690 |
1,620 |
$9K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
70 |
70 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,124 |
1,972 |
$3K |
| 93923 |
|
64 |
53 |
$3K |
| 81003 |
|
1,463 |
1,397 |
$2K |
| 95923 |
|
61 |
51 |
$1K |
| 90656 |
|
56 |
56 |
$633.36 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
15 |
$361.48 |
| 90658 |
|
16 |
16 |
$236.11 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13 |
13 |
$151.32 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
42 |
41 |
$144.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$107.46 |
| 90756 |
|
17 |
13 |
$99.99 |
| 82962 |
|
42 |
40 |
$52.31 |
| 93000 |
|
12 |
12 |
$36.80 |
| 3044F |
|
12 |
12 |
$0.04 |
| 3077F |
|
17 |
15 |
$0.00 |
| 3078F |
|
16 |
15 |
$0.00 |
| G0511 |
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month |
23 |
12 |
$0.00 |