| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
706 |
660 |
$3K |
| 3074F |
|
449 |
414 |
$722.50 |
| 3078F |
|
314 |
292 |
$440.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
41 |
$320.00 |
| 3044F |
|
446 |
410 |
$176.00 |
| 3048F |
|
139 |
127 |
$64.00 |
| 1126F |
|
65 |
61 |
$44.00 |
| 36415 |
Collection of venous blood by venipuncture |
133 |
131 |
$36.00 |
| 1159F |
|
106 |
101 |
$35.00 |
| 1160F |
|
106 |
101 |
$17.50 |
| 3079F |
|
32 |
28 |
$16.00 |
| 1125F |
|
12 |
12 |
$10.00 |
| 3049F |
|
59 |
54 |
$8.00 |
| H0001 |
Alcohol and/or drug assessment |
69 |
64 |
$3.75 |
| 3008F |
|
441 |
407 |
$0.10 |
| 3062F |
|
332 |
305 |
$0.05 |
| 3725F |
|
118 |
110 |
$0.00 |
| 77057 |
|
20 |
18 |
$0.00 |
| 3016F |
|
64 |
59 |
$0.00 |
| G9621 |
Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling |
45 |
40 |
$0.00 |
| G9622 |
Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method |
62 |
57 |
$0.00 |
| 0521F |
|
46 |
42 |
$0.00 |
| 2001F |
|
772 |
712 |
$0.00 |
| 2000F |
|
806 |
743 |
$0.00 |
| 1036F |
|
272 |
249 |
$0.00 |
| 2010F |
|
771 |
711 |
$0.00 |
| G8725 |
Fasting lipid profile performed (triglycerides, ldl-c, hdl-c and total cholesterol) |
84 |
78 |
$0.00 |
| 1000F |
|
576 |
532 |
$0.00 |
| 3060F |
|
44 |
41 |
$0.00 |
| 3014F |
|
141 |
127 |
$0.00 |