| Code | Description | Claims | Beneficiaries | Total Paid |
| 99348 |
|
712 |
712 |
$7K |
| 99336 |
|
186 |
186 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,730 |
1,712 |
$5K |
| 90686 |
|
200 |
198 |
$3K |
| 90688 |
|
104 |
103 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
139 |
137 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
459 |
418 |
$919.86 |
| G0008 |
Administration of influenza virus vaccine |
62 |
62 |
$816.96 |
| 86580 |
|
146 |
146 |
$153.00 |
| 99205 |
Prolong outpt/office vis |
13 |
13 |
$82.70 |
| G9920 |
Screening performed and negative |
187 |
181 |
$57.42 |
| 99215 |
Prolong outpt/office vis |
119 |
118 |
$56.63 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34 |
34 |
$53.04 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
47 |
47 |
$20.20 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
26 |
26 |
$2.73 |
| 84443 |
Thyroid stimulating hormone (TSH) |
215 |
211 |
$0.00 |
| 3008F |
|
481 |
473 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
354 |
345 |
$0.00 |
| G0499 |
Hepatitis b screening in non-pregnant, high risk individual includes hepatitis b surface antigen (hbsag), antibodies to hbsag (anti-hbs) and antibodies to hepatitis b core antigen (anti-hbc), and is followed by a neutralizing confirmatory test, when performed, only for an initially reactive hbsag result |
234 |
232 |
$0.00 |
| 3074F |
|
380 |
378 |
$0.00 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
111 |
109 |
$0.00 |
| 82607 |
|
29 |
29 |
$0.00 |
| G0443 |
Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes |
162 |
160 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
305 |
302 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
317 |
313 |
$0.00 |
| 87492 |
|
123 |
123 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
80 |
79 |
$0.00 |
| H0049 |
Alcohol and/or drug screening |
64 |
63 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
216 |
214 |
$0.00 |
| 3079F |
|
50 |
49 |
$0.00 |
| 82746 |
|
29 |
29 |
$0.00 |
| 81001 |
|
197 |
195 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
370 |
356 |
$0.00 |
| 96156 |
|
72 |
69 |
$0.00 |
| 86780 |
|
123 |
123 |
$0.00 |
| 3351F |
|
13 |
13 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
317 |
167 |
$0.00 |
| 1111F |
|
13 |
13 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 82043 |
|
31 |
31 |
$0.00 |
| 99499 |
|
145 |
144 |
$0.00 |
| 3078F |
|
319 |
316 |
$0.00 |
| 87530 |
|
123 |
123 |
$0.00 |
| 80061 |
Lipid panel |
246 |
245 |
$0.00 |
| 87592 |
|
123 |
123 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
73 |
73 |
$0.00 |
| 81003 |
|
17 |
16 |
$0.00 |