| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
599 |
555 |
$0.00 |
| 99172 |
|
817 |
813 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
188 |
188 |
$0.00 |
| 86580 |
|
290 |
289 |
$0.00 |
| 94200 |
|
26 |
25 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,472 |
1,408 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
722 |
707 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
220 |
218 |
$0.00 |
| 81001 |
|
61 |
60 |
$0.00 |
| 90696 |
|
94 |
94 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
219 |
219 |
$0.00 |
| 90686 |
|
204 |
202 |
$0.00 |
| 85018 |
|
498 |
494 |
$0.00 |
| 90651 |
|
248 |
247 |
$0.00 |
| 90698 |
|
191 |
189 |
$0.00 |
| 99383 |
|
14 |
14 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
101 |
99 |
$0.00 |
| 90744 |
|
98 |
98 |
$0.00 |
| 90680 |
|
132 |
131 |
$0.00 |
| 99205 |
Prolong outpt/office vis |
17 |
17 |
$0.00 |
| 97802 |
|
75 |
75 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
108 |
108 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
130 |
130 |
$0.00 |
| 94760 |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
98 |
97 |
$0.00 |
| 99384 |
|
13 |
13 |
$0.00 |
| 85652 |
|
12 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
13 |
12 |
$0.00 |
| 90734 |
|
77 |
77 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
450 |
447 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
132 |
131 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
301 |
292 |
$0.00 |
| 83655 |
|
122 |
121 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
378 |
377 |
$0.00 |
| 90715 |
|
64 |
64 |
$0.00 |
| 80061 |
Lipid panel |
228 |
225 |
$0.00 |
| 90633 |
|
206 |
203 |
$0.00 |
| 83525 |
|
193 |
191 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
61 |
61 |
$0.00 |
| 90710 |
|
200 |
198 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
51 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,140 |
1,113 |
$0.00 |
| 90685 |
|
111 |
111 |
$0.00 |
| 90461 |
|
535 |
522 |
$0.00 |
| 90700 |
|
46 |
44 |
$0.00 |
| 92552 |
|
823 |
820 |
$0.00 |
| 90670 |
|
273 |
270 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
174 |
173 |
$0.00 |
| 82947 |
|
49 |
47 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
345 |
339 |
$0.00 |
| 90648 |
|
26 |
25 |
$0.00 |
| 99354 |
|
12 |
12 |
$0.00 |