| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
362 |
341 |
$16K |
| 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 |
60 |
13 |
$11K |
| 80053 |
Comprehensive metabolic panel |
623 |
592 |
$10K |
| 87660 |
|
92 |
84 |
$10K |
| 80061 |
Lipid panel |
350 |
311 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
350 |
341 |
$10K |
| 80074 |
|
88 |
74 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
457 |
442 |
$6K |
| 80050 |
General health panel |
103 |
58 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
95 |
$5K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
92 |
77 |
$3K |
| 87480 |
|
92 |
84 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
41 |
37 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
41 |
37 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
442 |
336 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
18 |
18 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
149 |
73 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
120 |
$1K |
| 87510 |
|
31 |
28 |
$909.38 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
53 |
$602.98 |
| 87081 |
|
36 |
36 |
$385.76 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
42 |
37 |
$348.08 |
| 81001 |
|
42 |
38 |
$313.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$197.70 |
| 99173 |
|
48 |
46 |
$83.99 |
| 90686 |
|
74 |
41 |
$36.79 |