| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
783 |
676 |
$226.88 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,401 |
1,256 |
$121.08 |
| G9920 |
Screening performed and negative |
605 |
604 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,424 |
1,308 |
$0.00 |
| 80061 |
Lipid panel |
438 |
437 |
$0.00 |
| 3078F |
|
458 |
434 |
$0.00 |
| 99442 |
|
71 |
64 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
272 |
271 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
196 |
195 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
123 |
123 |
$0.00 |
| 1033F |
|
121 |
116 |
$0.00 |
| 96160 |
|
109 |
108 |
$0.00 |
| 90658 |
|
28 |
28 |
$0.00 |
| 86703 |
|
25 |
25 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
59 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,383 |
1,320 |
$0.00 |
| 96161 |
|
198 |
198 |
$0.00 |
| 3074F |
|
461 |
438 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
285 |
284 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
671 |
669 |
$0.00 |
| 3044F |
|
20 |
20 |
$0.00 |
| 99441 |
|
550 |
522 |
$0.00 |
| 90686 |
|
261 |
261 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
111 |
110 |
$0.00 |
| 3008F |
|
720 |
683 |
$0.00 |
| 90656 |
|
77 |
77 |
$0.00 |
| 1111F |
|
156 |
146 |
$0.00 |
| 94760 |
|
45 |
44 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
26 |
26 |
$0.00 |
| 1220F |
|
13 |
13 |
$0.00 |