| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,813 |
1,766 |
$28K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
346 |
342 |
$6K |
| 80061 |
Lipid panel |
420 |
418 |
$2K |
| 82274 |
|
168 |
168 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
524 |
522 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
614 |
609 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
98 |
95 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
193 |
189 |
$1K |
| 80053 |
Comprehensive metabolic panel |
293 |
291 |
$1K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
99 |
99 |
$943.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
170 |
169 |
$561.19 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
198 |
196 |
$511.20 |
| 99215 |
Prolong outpt/office vis |
28 |
28 |
$400.00 |
| 82043 |
|
146 |
146 |
$266.59 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
15 |
$249.18 |
| 82540 |
|
146 |
146 |
$216.24 |
| 84443 |
Thyroid stimulating hormone (TSH) |
30 |
30 |
$175.32 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
26 |
25 |
$139.86 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
130 |
130 |
$118.26 |
| 36415 |
Collection of venous blood by venipuncture |
107 |
106 |
$112.80 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
108 |
108 |
$47.04 |
| 85027 |
|
12 |
12 |
$5.65 |