| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,120 |
5,254 |
$832K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,578 |
4,092 |
$556K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,130 |
1,038 |
$175K |
| 99441 |
|
644 |
578 |
$108K |
| 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 |
2,207 |
1,661 |
$58K |
| 36415 |
Collection of venous blood by venipuncture |
2,155 |
2,090 |
$34K |
| 99442 |
|
145 |
134 |
$24K |
| 0012A |
|
133 |
130 |
$21K |
| 0011A |
|
124 |
119 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,255 |
1,235 |
$11K |
| 80053 |
Comprehensive metabolic panel |
1,373 |
1,364 |
$10K |
| 0013A |
|
41 |
41 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
386 |
384 |
$6K |
| 99443 |
|
30 |
30 |
$5K |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
89 |
74 |
$4K |
| H2015 |
Comprehensive community support services, per 15 minutes |
20 |
13 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
265 |
264 |
$3K |
| 80061 |
Lipid panel |
942 |
939 |
$2K |
| 90686 |
|
204 |
201 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
314 |
313 |
$1K |
| 82043 |
|
344 |
344 |
$1K |
| 86703 |
|
33 |
33 |
$359.24 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
26 |
26 |
$359.24 |
| 91301 |
|
83 |
83 |
$179.62 |
| G0008 |
Administration of influenza virus vaccine |
34 |
34 |
$35.46 |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
37 |
37 |
$31.52 |
| 82570 |
|
346 |
344 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
34 |
33 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
64 |
63 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
25 |
$0.00 |
| 81001 |
|
18 |
16 |
$0.00 |
| 90688 |
|
151 |
151 |
$0.00 |
| 36416 |
|
25 |
25 |
$0.00 |
| 86780 |
|
13 |
13 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
27 |
26 |
$0.00 |