| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
18,404 |
12,992 |
$2.71M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,792 |
3,679 |
$444K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,613 |
6,005 |
$335K |
| 59409 |
Vaginal delivery only (with or without episiotomy and/or forceps) |
279 |
267 |
$156K |
| 59430 |
|
550 |
495 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,083 |
1,019 |
$36K |
| 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 |
1,188 |
1,080 |
$32K |
| 59514 |
|
24 |
24 |
$16K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
28 |
27 |
$3K |
| 81003 |
|
784 |
537 |
$872.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
14 |
$589.30 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
242 |
233 |
$465.74 |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
17 |
15 |
$328.80 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
77 |
77 |
$320.66 |
| 90715 |
|
12 |
12 |
$252.00 |
| 90686 |
|
19 |
19 |
$231.12 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
27 |
$194.60 |
| 81000 |
|
350 |
260 |
$111.54 |
| 82950 |
|
41 |
40 |
$103.68 |
| 86592 |
|
57 |
55 |
$86.97 |
| 80053 |
Comprehensive metabolic panel |
746 |
726 |
$70.96 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
12 |
$56.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
199 |
195 |
$48.96 |
| 82948 |
|
27 |
27 |
$12.69 |
| 80061 |
Lipid panel |
164 |
160 |
$0.00 |
| 3725F |
|
33 |
33 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
112 |
103 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
167 |
163 |
$0.00 |
| 1036F |
|
37 |
36 |
$0.00 |
| 0011A |
|
205 |
205 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$0.00 |
| 0064A |
|
92 |
92 |
$0.00 |
| 3008F |
|
126 |
115 |
$0.00 |
| 0012A |
|
215 |
215 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
15 |
13 |
$0.00 |
| 0031A |
|
16 |
16 |
$0.00 |
| 1000F |
|
54 |
54 |
$0.00 |