| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,463 |
3,219 |
$93K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,708 |
1,588 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
360 |
332 |
$16K |
| 90686 |
|
293 |
284 |
$5K |
| 90688 |
|
225 |
213 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
529 |
525 |
$2K |
| 90715 |
|
26 |
25 |
$981.90 |
| 99000 |
|
480 |
428 |
$958.33 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
254 |
251 |
$713.66 |
| G0071 |
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only |
33 |
31 |
$684.76 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
19 |
$353.30 |
| 80053 |
Comprehensive metabolic panel |
131 |
130 |
$333.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$244.73 |
| 80061 |
Lipid panel |
40 |
39 |
$134.31 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
202 |
200 |
$100.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$81.40 |
| 85018 |
|
27 |
25 |
$47.58 |
| 81002 |
|
13 |
13 |
$20.43 |
| 82570 |
|
13 |
13 |
$19.84 |
| 1160F |
|
375 |
354 |
$0.00 |
| 3078F |
|
1,049 |
980 |
$0.00 |
| 1158F |
|
1,018 |
937 |
$0.00 |
| 3077F |
|
33 |
28 |
$0.00 |
| 3074F |
|
854 |
803 |
$0.00 |
| 1126F |
|
939 |
863 |
$0.00 |
| 3351F |
|
1,103 |
1,011 |
$0.00 |
| 1125F |
|
123 |
120 |
$0.00 |
| 3079F |
|
85 |
83 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
100 |
95 |
$0.00 |
| 3075F |
|
72 |
68 |
$0.00 |
| G9226 |
Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) |
39 |
38 |
$0.00 |
| 3044F |
|
14 |
13 |
$0.00 |