| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,625 |
24,263 |
$9.21M |
| G9012 |
Other specified case management service not elsewhere classified |
155 |
150 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,678 |
2,462 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,361 |
6,700 |
$2K |
| 99499 |
|
762 |
695 |
$2K |
| 3079F |
|
1,023 |
937 |
$490.00 |
| 3077F |
|
651 |
603 |
$470.00 |
| 3074F |
|
1,828 |
1,568 |
$470.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
235 |
230 |
$401.55 |
| 3078F |
|
1,456 |
1,248 |
$370.00 |
| 3080F |
|
365 |
331 |
$270.00 |
| 3075F |
|
507 |
460 |
$220.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,059 |
951 |
$212.92 |
| 90686 |
|
256 |
248 |
$86.08 |
| 90656 |
|
28 |
28 |
$44.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
378 |
364 |
$33.00 |
| 82962 |
|
861 |
777 |
$30.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,296 |
1,224 |
$6.94 |
| 82948 |
|
393 |
361 |
$2.00 |
| 36416 |
|
1,009 |
898 |
$1.25 |
| 80053 |
Comprehensive metabolic panel |
1,653 |
1,576 |
$0.33 |
| 80061 |
Lipid panel |
1,275 |
1,203 |
$0.23 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
660 |
613 |
$0.15 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
340 |
323 |
$0.03 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
105 |
98 |
$0.02 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
106 |
99 |
$0.02 |
| 86592 |
|
90 |
83 |
$0.01 |
| 1159F |
|
2,036 |
1,783 |
$0.00 |
| G9920 |
Screening performed and negative |
268 |
240 |
$0.00 |
| 1160F |
|
2,032 |
1,780 |
$0.00 |
| 99401 |
|
49 |
43 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
69 |
68 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
29 |
28 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
28 |
27 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 3008F |
|
3,235 |
2,856 |
$0.00 |
| 4010F |
|
269 |
237 |
$0.00 |
| 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 |
37 |
32 |
$0.00 |
| T2022 |
Case management, per month |
122 |
121 |
$0.00 |