| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,856 |
4,527 |
$108K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,787 |
2,410 |
$65K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,751 |
3,076 |
$13K |
| 81003 |
|
4,208 |
3,412 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
101 |
86 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
169 |
153 |
$212.39 |
| 93000 |
|
33 |
27 |
$188.81 |
| 82947 |
|
102 |
75 |
$181.66 |
| 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) |
22 |
13 |
$0.86 |
| 90662 |
|
60 |
53 |
$0.00 |
| 1159F |
|
37 |
30 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
88 |
75 |
$0.00 |
| 2000F |
|
288 |
254 |
$0.00 |
| 2001F |
|
18 |
15 |
$0.00 |
| 2010F |
|
17 |
14 |
$0.00 |
| 1125F |
|
16 |
15 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |