| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,052 |
902 |
$1K |
| 99497 |
|
158 |
143 |
$488.16 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
36 |
30 |
$151.50 |
| 99401 |
|
281 |
144 |
$102.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
13 |
$99.33 |
| 1159F |
|
696 |
603 |
$0.00 |
| 3078F |
|
801 |
700 |
$0.00 |
| 1160F |
|
724 |
629 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
57 |
$0.00 |
| 1033F |
|
241 |
208 |
$0.00 |
| G9316 |
Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family |
95 |
84 |
$0.00 |
| 3725F |
|
317 |
267 |
$0.00 |
| 80061 |
Lipid panel |
45 |
42 |
$0.00 |
| 3077F |
|
12 |
12 |
$0.00 |
| 1124F |
|
13 |
12 |
$0.00 |
| 3008F |
|
1,138 |
971 |
$0.00 |
| 3044F |
|
51 |
41 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
47 |
44 |
$0.00 |
| 3074F |
|
656 |
573 |
$0.00 |
| 2001F |
|
992 |
848 |
$0.00 |
| 2000F |
|
763 |
663 |
$0.00 |
| 1000F |
|
469 |
409 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
25 |
22 |
$0.00 |
| 1123F |
|
140 |
128 |
$0.00 |
| 2010F |
|
118 |
102 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
45 |
42 |
$0.00 |
| 1126F |
|
986 |
861 |
$0.00 |
| 1220F |
|
421 |
381 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
45 |
42 |
$0.00 |
| 99422 |
|
14 |
14 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
73 |
70 |
$0.00 |
| 99402 |
|
48 |
41 |
$0.00 |
| 3079F |
|
17 |
14 |
$0.00 |