| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,834 |
2,340 |
$409K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,478 |
2,180 |
$342K |
| 99442 |
|
128 |
120 |
$21K |
| 0011A |
|
83 |
75 |
$12K |
| 0012A |
|
64 |
58 |
$10K |
| 99441 |
|
41 |
34 |
$7K |
| 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 |
207 |
153 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
444 |
429 |
$1K |
| G0480 |
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed |
468 |
382 |
$879.10 |
| 99173 |
|
18 |
18 |
$499.92 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
12 |
12 |
$429.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
61 |
60 |
$350.82 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
27 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
116 |
115 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
104 |
104 |
$0.00 |
| 90686 |
|
26 |
26 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
59 |
59 |
$0.00 |
| 90688 |
|
29 |
29 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
28 |
28 |
$0.00 |