| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,339 |
5,203 |
$422K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,190 |
894 |
$87K |
| 0352U |
|
46 |
44 |
$7K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
78 |
77 |
$3K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
78 |
77 |
$3K |
| 80053 |
Comprehensive metabolic panel |
351 |
337 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
12 |
$2K |
| 11721 |
|
231 |
146 |
$2K |
| 95251 |
|
78 |
56 |
$2K |
| 80061 |
Lipid panel |
164 |
163 |
$1K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
42 |
39 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
158 |
157 |
$966.36 |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
42 |
39 |
$869.83 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$537.87 |
| 85027 |
|
85 |
81 |
$530.60 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
109 |
43 |
$501.21 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
43 |
38 |
$392.38 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
24 |
24 |
$225.38 |
| 36415 |
Collection of venous blood by venipuncture |
76 |
75 |
$163.57 |
| 84466 |
|
17 |
17 |
$146.74 |
| 71046 |
Radiologic examination, chest; 2 views |
20 |
13 |
$116.68 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
16 |
16 |
$76.14 |
| 83540 |
|
17 |
17 |
$74.43 |
| 86140 |
|
12 |
12 |
$49.21 |