| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,965 |
8,132 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
910 |
798 |
$35K |
| 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 |
1,237 |
943 |
$9K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
77 |
61 |
$3K |
| D1110 |
Prophylaxis - adult |
25 |
25 |
$461.00 |
| D1330 |
|
300 |
296 |
$288.00 |
| 3074F |
|
99 |
80 |
$175.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
89 |
79 |
$93.94 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$93.03 |
| 80053 |
Comprehensive metabolic panel |
122 |
119 |
$32.20 |
| 82962 |
|
43 |
34 |
$24.35 |
| 36415 |
Collection of venous blood by venipuncture |
158 |
135 |
$21.00 |
| 3008F |
|
1,323 |
1,033 |
$0.04 |
| 1126F |
|
228 |
174 |
$0.01 |
| 3077F |
|
34 |
26 |
$0.01 |
| 1000F |
|
822 |
575 |
$0.00 |
| 2000F |
|
423 |
291 |
$0.00 |
| 1220F |
|
465 |
432 |
$0.00 |
| 2001F |
|
370 |
281 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
30 |
29 |
$0.00 |
| 3352F |
|
178 |
133 |
$0.00 |
| 3351F |
|
189 |
144 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
77 |
75 |
$0.00 |
| 3079F |
|
81 |
62 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| 2010F |
|
31 |
30 |
$0.00 |
| 3044F |
|
34 |
26 |
$0.00 |
| 36416 |
|
33 |
20 |
$0.00 |
| 3075F |
|
16 |
12 |
$0.00 |
| 2014F |
|
495 |
397 |
$0.00 |
| 80061 |
Lipid panel |
37 |
36 |
$0.00 |
| 1159F |
|
300 |
282 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
13 |
13 |
$0.00 |
| 3078F |
|
167 |
131 |
$0.00 |
| 1160F |
|
209 |
194 |
$0.00 |