| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,963 |
19,945 |
$741K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,979 |
4,882 |
$223K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
9,430 |
7,591 |
$87K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,569 |
1,418 |
$63K |
| 87428 |
|
812 |
742 |
$28K |
| 80053 |
Comprehensive metabolic panel |
4,096 |
3,773 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
12,562 |
8,443 |
$24K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,190 |
748 |
$20K |
| 80061 |
Lipid panel |
2,195 |
2,039 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,865 |
3,470 |
$19K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
824 |
775 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,322 |
1,205 |
$17K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
628 |
444 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
247 |
228 |
$14K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,287 |
1,158 |
$13K |
| 80050 |
General health panel |
223 |
205 |
$9K |
| 99307 |
|
383 |
366 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,209 |
1,104 |
$7K |
| 81000 |
|
2,623 |
2,331 |
$6K |
| 94760 |
|
5,677 |
4,768 |
$6K |
| 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 |
878 |
709 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
248 |
168 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
234 |
195 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
23 |
22 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
82 |
75 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
310 |
269 |
$2K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
130 |
110 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$932.80 |
| 93018 |
|
43 |
37 |
$853.78 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
12 |
12 |
$500.90 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
12 |
12 |
$500.90 |
| 87070 |
|
49 |
46 |
$402.81 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
79 |
63 |
$343.49 |
| 82607 |
|
25 |
24 |
$305.62 |
| 93000 |
|
13 |
13 |
$261.48 |
| 99406 |
|
25 |
25 |
$192.78 |
| 87220 |
|
53 |
44 |
$150.43 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
749 |
254 |
$150.08 |
| 87210 |
|
38 |
29 |
$126.91 |
| 87186 |
|
14 |
13 |
$85.21 |
| T1015 |
Clinic visit/encounter, all-inclusive |
168 |
161 |
$17.13 |
| 81002 |
|
13 |
13 |
$9.05 |
| 1159F |
|
3,216 |
2,756 |
$2.04 |
| 3008F |
|
2,218 |
1,819 |
$1.58 |
| 3044F |
|
185 |
162 |
$0.31 |
| 1036F |
|
1,016 |
795 |
$0.11 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
145 |
126 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
15 |
13 |
$0.00 |
| 99000 |
|
168 |
147 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
168 |
149 |
$0.00 |