| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
646 |
609 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
99 |
97 |
$5K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
47 |
47 |
$1K |
| 80053 |
Comprehensive metabolic panel |
140 |
138 |
$960.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
319 |
316 |
$780.96 |
| 80061 |
Lipid panel |
75 |
75 |
$526.26 |
| 82043 |
|
132 |
131 |
$100.71 |
| 36415 |
Collection of venous blood by venipuncture |
112 |
111 |
$55.89 |
| 1126F |
|
256 |
248 |
$0.00 |
| 1170F |
|
573 |
556 |
$0.00 |
| 1125F |
|
455 |
443 |
$0.00 |
| 1111F |
|
45 |
43 |
$0.00 |
| 3079F |
|
83 |
81 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
83 |
81 |
$0.00 |
| 4086F |
|
258 |
252 |
$0.00 |
| 3061F |
|
27 |
26 |
$0.00 |
| 3060F |
|
14 |
14 |
$0.00 |
| 3074F |
|
287 |
276 |
$0.00 |
| 4010F |
|
111 |
109 |
$0.00 |
| 99406 |
|
26 |
26 |
$0.00 |
| 3075F |
|
41 |
40 |
$0.00 |
| 90674 |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| 1160F |
|
772 |
748 |
$0.00 |
| 1159F |
|
738 |
716 |
$0.00 |
| 3725F |
|
127 |
127 |
$0.00 |
| 3078F |
|
371 |
358 |
$0.00 |
| 3288F |
|
75 |
75 |
$0.00 |
| 0521F |
|
255 |
251 |
$0.00 |
| 3077F |
|
72 |
72 |
$0.00 |
| 1158F |
|
172 |
169 |
$0.00 |
| 0518F |
|
45 |
45 |
$0.00 |
| 81002 |
|
45 |
38 |
$0.00 |
| 82947 |
|
47 |
46 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
113 |
112 |
$0.00 |