| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,353 |
4,054 |
$271K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,610 |
2,477 |
$132K |
| 80053 |
Comprehensive metabolic panel |
1,371 |
1,351 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
89 |
88 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,490 |
2,331 |
$7K |
| 84443 |
Thyroid stimulating hormone (TSH) |
588 |
580 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,244 |
1,218 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
61 |
61 |
$5K |
| 80061 |
Lipid panel |
442 |
440 |
$4K |
| 90686 |
|
324 |
321 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
330 |
326 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
148 |
147 |
$876.86 |
| 98966 |
|
27 |
24 |
$208.30 |
| 81001 |
|
13 |
12 |
$29.86 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
178 |
175 |
$0.00 |
| 3078F |
|
277 |
266 |
$0.00 |
| 3079F |
|
222 |
209 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
63 |
63 |
$0.00 |
| 3074F |
|
425 |
399 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 3075F |
|
25 |
25 |
$0.00 |