| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,066 |
1,955 |
$649.92 |
| 90688 |
|
40 |
35 |
$483.53 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,039 |
1,006 |
$411.75 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$56.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
42 |
41 |
$17.92 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
101 |
95 |
$0.00 |
| 3074F |
|
284 |
277 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
109 |
107 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
149 |
143 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
108 |
106 |
$0.00 |
| 1126F |
|
186 |
185 |
$0.00 |
| 3008F |
|
258 |
256 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
191 |
184 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
230 |
216 |
$0.00 |
| 1125F |
|
24 |
24 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
58 |
57 |
$0.00 |
| 3075F |
|
47 |
46 |
$0.00 |
| 1036F |
|
198 |
187 |
$0.00 |
| 3079F |
|
27 |
26 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
292 |
275 |
$0.00 |
| 1159F |
|
220 |
218 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
96 |
94 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
68 |
66 |
$0.00 |
| 3078F |
|
311 |
306 |
$0.00 |
| 1160F |
|
220 |
218 |
$0.00 |
| 80061 |
Lipid panel |
72 |
72 |
$0.00 |
| 1158F |
|
49 |
48 |
$0.00 |
| 0521F |
|
12 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
19 |
18 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
185 |
179 |
$0.00 |
| G9920 |
Screening performed and negative |
15 |
15 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15 |
15 |
$0.00 |