| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,608 |
6,422 |
$353K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,198 |
2,596 |
$175K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
28 |
12 |
$368.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
14 |
$198.36 |
| 80061 |
Lipid panel |
69 |
58 |
$180.03 |
| 90688 |
|
36 |
33 |
$148.54 |
| 80053 |
Comprehensive metabolic panel |
69 |
59 |
$142.00 |
| 36415 |
Collection of venous blood by venipuncture |
194 |
149 |
$133.83 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
43 |
41 |
$114.80 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
25 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
21 |
$0.00 |