| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99234 |
|
511 |
432 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,914 |
1,750 |
$824.25 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
430 |
423 |
$751.52 |
| 84443 |
Thyroid stimulating hormone (TSH) |
224 |
222 |
$696.30 |
| 80061 |
Lipid panel |
371 |
369 |
$666.36 |
| 80053 |
Comprehensive metabolic panel |
481 |
470 |
$628.23 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
208 |
196 |
$139.62 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
743 |
635 |
$136.46 |
| 85027 |
|
212 |
209 |
$80.55 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
297 |
279 |
$78.41 |
| 92250 |
|
14 |
14 |
$42.13 |
| J3490 |
Unclassified drugs |
582 |
296 |
$39.47 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
166 |
155 |
$18.10 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
101 |
94 |
$11.70 |
| 81003 |
|
29 |
27 |
$3.10 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
2,138 |
1,916 |
$0.00 |
| 3008F |
|
216 |
209 |
$0.00 |
| 99441 |
|
34 |
33 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
74 |
73 |
$0.00 |
| J2250 |
Injection, midazolam hydrochloride, per 1 mg |
12 |
12 |
$0.00 |
| 90686 |
|
31 |
31 |
$0.00 |
| 86803 |
|
63 |
62 |
$0.00 |
| 82044 |
|
14 |
14 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
63 |
56 |
$0.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
26 |
25 |
$0.00 |
| 97139 |
|
66 |
12 |
$0.00 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
14 |
13 |
$0.00 |
| 3074F |
|
14 |
13 |
$0.00 |
| J3010 |
Injection, fentanyl citrate, 0.1 mg |
12 |
12 |
$0.00 |
| A4306 |
Disposable drug delivery system, flow rate of less than 50 ml per hour |
50 |
50 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
39 |
38 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
12 |
12 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
43 |
43 |
$0.00 |
| 99442 |
|
61 |
56 |
$0.00 |
| 92134 |
|
30 |
28 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$0.00 |
| 99499 |
|
50 |
39 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 82947 |
|
25 |
25 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
14 |
14 |
$0.00 |
| 84439 |
|
13 |
13 |
$0.00 |