| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
2,601 |
2,253 |
$284K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
985 |
948 |
$203K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
491 |
463 |
$193K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
480 |
467 |
$16K |
| 99282 |
Emergency department visit for the evaluation and management, low to moderate severity |
46 |
43 |
$6K |
| 0223U |
|
242 |
227 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
47 |
43 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
92 |
$3K |
| 80053 |
Comprehensive metabolic panel |
263 |
241 |
$1K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
278 |
268 |
$1K |
| 71045 |
Radiologic examination, chest; single view |
13 |
13 |
$852.67 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
25 |
$495.44 |
| 81015 |
|
60 |
56 |
$444.97 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
145 |
135 |
$242.57 |
| 36415 |
Collection of venous blood by venipuncture |
77 |
72 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$0.00 |