| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,769 |
4,404 |
$215K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,824 |
2,560 |
$129K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
278 |
278 |
$24K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
971 |
968 |
$20K |
| 84443 |
Thyroid stimulating hormone (TSH) |
991 |
988 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
90 |
89 |
$8K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,177 |
1,165 |
$6K |
| 84439 |
|
982 |
979 |
$6K |
| ATP17 |
|
715 |
713 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
55 |
55 |
$3K |
| 81003 |
|
1,505 |
1,481 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
70 |
70 |
$2K |
| 93000 |
|
176 |
172 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
252 |
244 |
$1K |
| 90688 |
|
171 |
171 |
$1K |
| ATP14 |
|
81 |
81 |
$718.74 |
| 99072 |
|
2,816 |
2,506 |
$664.61 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
52 |
40 |
$569.81 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
94 |
94 |
$552.10 |
| 82270 |
|
229 |
218 |
$494.93 |
| Q2035 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) |
66 |
63 |
$410.57 |
| 80061 |
Lipid panel |
1,198 |
1,194 |
$376.28 |
| 36415 |
Collection of venous blood by venipuncture |
1,647 |
1,600 |
$251.72 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
59 |
59 |
$229.97 |
| 80053 |
Comprehensive metabolic panel |
987 |
977 |
$211.72 |
| G0008 |
Administration of influenza virus vaccine |
200 |
195 |
$149.10 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
50 |
50 |
$86.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$74.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
110 |
107 |
$69.22 |
| 99000 |
|
1,175 |
1,136 |
$64.39 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
25 |
25 |
$29.60 |
| 80076 |
|
27 |
27 |
$3.00 |
| 82962 |
|
25 |
25 |
$0.00 |