| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,312 |
4,169 |
$213K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,799 |
2,041 |
$140K |
| H1000 |
Prenatal care, at-risk assessment |
1,026 |
457 |
$34K |
| 99385 |
|
393 |
273 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
249 |
163 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
171 |
$11K |
| H2019 |
Therapeutic behavioral services, per 15 minutes |
482 |
205 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
256 |
189 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
45 |
39 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
118 |
43 |
$3K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
83 |
30 |
$3K |
| 86703 |
|
13 |
13 |
$377.67 |
| 81025 |
|
387 |
258 |
$349.44 |
| 81002 |
|
717 |
358 |
$244.67 |
| 36415 |
Collection of venous blood by venipuncture |
2,647 |
2,295 |
$220.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
36 |
$175.81 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
34 |
$102.23 |
| 3074F |
|
5,535 |
3,504 |
$75.00 |
| 3075F |
|
708 |
498 |
$25.00 |
| 81001 |
|
32 |
29 |
$19.42 |
| 3008F |
|
7,462 |
4,579 |
$12.61 |
| 1159F |
|
5,833 |
4,208 |
$7.99 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
18 |
$6.50 |
| 3351F |
|
3,184 |
1,407 |
$0.01 |
| 1160F |
|
5,844 |
4,219 |
$0.00 |
| 3078F |
|
4,984 |
3,104 |
$0.00 |
| 3077F |
|
495 |
316 |
$0.00 |
| 1033F |
|
722 |
364 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
14 |
$0.00 |
| 80061 |
Lipid panel |
15 |
15 |
$0.00 |
| 1220F |
|
7,820 |
4,909 |
$0.00 |
| 2000F |
|
7,107 |
4,464 |
$0.00 |
| 96127 |
|
2,206 |
663 |
$0.00 |
| 3079F |
|
1,641 |
1,125 |
$0.00 |
| 2001F |
|
7,273 |
4,576 |
$0.00 |
| 1000F |
|
11,727 |
7,004 |
$0.00 |
| 1126F |
|
3,394 |
2,510 |
$0.00 |
| 3044F |
|
1,354 |
928 |
$0.00 |
| 1125F |
|
690 |
546 |
$0.00 |
| 3080F |
|
174 |
123 |
$0.00 |
| 0513F |
|
60 |
55 |
$0.00 |
| 4000F |
|
56 |
40 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
17 |
17 |
$0.00 |
| 82043 |
|
12 |
12 |
$0.00 |