| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,931 |
1,249 |
$582.50 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
163 |
154 |
$127.63 |
| 92551 |
|
921 |
808 |
$0.00 |
| 1220F |
|
138 |
124 |
$0.00 |
| 90651 |
|
52 |
52 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
291 |
286 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
40 |
40 |
$0.00 |
| 85027 |
|
156 |
156 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
264 |
263 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,363 |
1,330 |
$0.00 |
| 4450F |
|
947 |
879 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
595 |
588 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
389 |
388 |
$0.00 |
| 86580 |
|
78 |
77 |
$0.00 |
| 90723 |
|
13 |
13 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
137 |
131 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
300 |
300 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
26 |
26 |
$0.00 |
| 90686 |
|
80 |
80 |
$0.00 |
| 99441 |
|
13 |
13 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 80061 |
Lipid panel |
566 |
566 |
$0.00 |
| 99442 |
|
120 |
102 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
184 |
181 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
127 |
99 |
$0.00 |
| 90461 |
|
25 |
25 |
$0.00 |
| 99173 |
|
876 |
775 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
373 |
371 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
40 |
40 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
176 |
164 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
56 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
169 |
169 |
$0.00 |
| 90658 |
|
95 |
95 |
$0.00 |
| 1033F |
|
33 |
30 |
$0.00 |
| 86703 |
|
46 |
46 |
$0.00 |
| 90670 |
|
46 |
46 |
$0.00 |
| 90734 |
|
28 |
28 |
$0.00 |