| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,577 |
7,229 |
$253K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,953 |
9,998 |
$218K |
| 90688 |
|
664 |
656 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
883 |
824 |
$10K |
| 99215 |
Prolong outpt/office vis |
222 |
219 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
191 |
190 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
136 |
135 |
$7K |
| 90686 |
|
258 |
257 |
$5K |
| 90682 |
|
54 |
54 |
$3K |
| 96151 |
|
642 |
637 |
$3K |
| 96150 |
|
356 |
356 |
$3K |
| 90756 |
|
84 |
84 |
$2K |
| 90715 |
|
57 |
57 |
$2K |
| 96156 |
|
97 |
90 |
$1K |
| 93000 |
|
50 |
50 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
595 |
584 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,037 |
1,021 |
$977.12 |
| 80061 |
Lipid panel |
966 |
952 |
$806.94 |
| 81003 |
|
427 |
344 |
$353.44 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
27 |
27 |
$235.65 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
4,329 |
3,992 |
$198.58 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
26 |
26 |
$127.56 |
| 85018 |
|
212 |
204 |
$68.18 |
| 96127 |
|
369 |
359 |
$67.28 |
| 81002 |
|
297 |
250 |
$41.29 |
| 92551 |
|
12 |
12 |
$29.60 |
| 99406 |
|
147 |
137 |
$29.33 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$7.24 |
| 81025 |
|
52 |
52 |
$5.60 |
| 80053 |
Comprehensive metabolic panel |
935 |
919 |
$1.91 |
| 84443 |
Thyroid stimulating hormone (TSH) |
541 |
536 |
$0.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
358 |
355 |
$0.46 |
| 82274 |
|
167 |
167 |
$0.24 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
78 |
78 |
$0.17 |
| 86592 |
|
75 |
75 |
$0.16 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
62 |
62 |
$0.13 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
64 |
64 |
$0.13 |
| 82043 |
|
61 |
60 |
$0.11 |
| 80074 |
|
35 |
35 |
$0.10 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
76 |
76 |
$0.09 |
| 84439 |
|
44 |
44 |
$0.05 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
113 |
112 |
$0.03 |
| 84481 |
|
43 |
42 |
$0.02 |
| 98960 |
|
2,789 |
2,560 |
$0.00 |
| 2014F |
|
635 |
632 |
$0.00 |
| 0124A |
|
14 |
14 |
$0.00 |
| 91300 |
|
22 |
22 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 99173 |
|
12 |
12 |
$0.00 |
| 2028F |
|
14 |
14 |
$0.00 |
| 82607 |
|
28 |
28 |
$0.00 |
| 1000F |
|
3,021 |
2,740 |
$0.00 |
| 4000F |
|
129 |
119 |
$0.00 |
| 3700F |
|
137 |
134 |
$0.00 |
| 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 |
51 |
49 |
$0.00 |
| 86376 |
|
13 |
13 |
$0.00 |
| H1001 |
Prenatal care, at-risk enhanced service; antepartum management |
17 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
32 |
$0.00 |