| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,009 |
7,634 |
$127K |
| 99223 |
Prolong inpt eval add15 m |
1,029 |
1,000 |
$53K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 99385 |
|
14 |
14 |
$144.10 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
127 |
124 |
$117.69 |
| 3008F |
|
4,716 |
4,598 |
$81.75 |
| 36415 |
Collection of venous blood by venipuncture |
294 |
287 |
$24.30 |
| 90658 |
|
89 |
89 |
$22.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
134 |
133 |
$10.00 |
| 80061 |
Lipid panel |
115 |
115 |
$8.47 |
| 81000 |
|
82 |
80 |
$0.14 |
| 84560 |
|
39 |
38 |
$0.13 |
| 3078F |
|
765 |
760 |
$0.03 |
| 3075F |
|
1,990 |
1,971 |
$0.02 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
39 |
$0.02 |
| 1160F |
|
2,009 |
1,989 |
$0.01 |
| 1159F |
|
2,021 |
2,001 |
$0.01 |
| 82652 |
|
28 |
28 |
$0.00 |
| 99080 |
|
184 |
182 |
$0.00 |
| 3077F |
|
49 |
48 |
$0.00 |
| 82570 |
|
25 |
25 |
$0.00 |
| 3079F |
|
1,194 |
1,186 |
$0.00 |
| 3074F |
|
114 |
114 |
$0.00 |
| 3080F |
|
171 |
168 |
$0.00 |
| 84436 |
|
24 |
24 |
$0.00 |
| 82607 |
|
41 |
40 |
$0.00 |
| 85652 |
|
26 |
26 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
28 |
28 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
25 |
24 |
$0.00 |