| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
23,601 |
17,431 |
$2.19M |
| 99199 |
Unlisted special service, procedure or report |
69,948 |
26,178 |
$380K |
| T1017 |
Targeted case management, each 15 minutes |
111 |
109 |
$37K |
| 80305 |
|
2,085 |
1,340 |
$21K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
888 |
777 |
$6K |
| 0012A |
|
117 |
117 |
$6K |
| 0011A |
|
121 |
120 |
$5K |
| 0064A |
|
106 |
78 |
$5K |
| 90832 |
Psychotherapy, 30 minutes with patient |
67 |
52 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
245 |
188 |
$2K |
| 99408 |
|
3,101 |
1,689 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
167 |
153 |
$868.02 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
28 |
12 |
$438.72 |
| 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 |
48 |
44 |
$304.95 |
| 4274F |
|
1,143 |
956 |
$263.30 |
| 99406 |
|
30 |
29 |
$263.30 |
| 80061 |
Lipid panel |
83 |
62 |
$238.56 |
| 36415 |
Collection of venous blood by venipuncture |
122 |
92 |
$163.28 |
| 90674 |
|
55 |
43 |
$150.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
25 |
$89.61 |
| 90661 |
|
12 |
12 |
$85.65 |
| 80053 |
Comprehensive metabolic panel |
49 |
40 |
$53.70 |
| 1160F |
|
5,714 |
4,633 |
$27.15 |
| 3008F |
|
9,838 |
7,638 |
$26.66 |
| 96160 |
|
32 |
29 |
$26.18 |
| 1159F |
|
5,714 |
4,633 |
$26.04 |
| 2010F |
|
6,778 |
5,434 |
$25.00 |
| 1034F |
|
2,634 |
2,011 |
$25.00 |
| 2001F |
|
6,614 |
5,314 |
$25.00 |
| 36416 |
|
37 |
26 |
$22.12 |
| 91306 |
|
106 |
78 |
$4.98 |
| 3074F |
|
6,821 |
5,329 |
$2.54 |
| 3078F |
|
6,289 |
4,917 |
$2.28 |
| 3079F |
|
1,674 |
1,417 |
$0.51 |
| 3075F |
|
634 |
555 |
$0.22 |
| 1126F |
|
1,315 |
1,101 |
$0.18 |
| 1125F |
|
735 |
625 |
$0.12 |
| 3044F |
|
357 |
316 |
$0.10 |
| 3077F |
|
333 |
287 |
$0.00 |
| 4004F |
|
192 |
179 |
$0.00 |
| 4040F |
|
49 |
42 |
$0.00 |
| 3066F |
|
641 |
567 |
$0.00 |
| 1036F |
|
2,952 |
2,479 |
$0.00 |
| 2000F |
|
6,537 |
5,249 |
$0.00 |
| 91301 |
|
279 |
272 |
$0.00 |
| 3351F |
|
1,824 |
1,556 |
$0.00 |
| 3500F |
|
113 |
96 |
$0.00 |
| 4010F |
|
199 |
165 |
$0.00 |
| 3080F |
|
35 |
25 |
$0.00 |
| 4037F |
|
36 |
28 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
12 |
$0.00 |