| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,049 |
1,790 |
$87K |
| 99215 |
Prolong outpt/office vis |
916 |
823 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,073 |
1,733 |
$55K |
| H0049 |
Alcohol and/or drug screening |
777 |
711 |
$24K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,142 |
1,918 |
$16K |
| 80061 |
Lipid panel |
798 |
712 |
$8K |
| 84443 |
Thyroid stimulating hormone (TSH) |
555 |
520 |
$8K |
| 82947 |
|
2,457 |
2,183 |
$7K |
| 92551 |
|
651 |
562 |
$6K |
| 82570 |
|
1,203 |
1,063 |
$5K |
| 90674 |
|
277 |
253 |
$4K |
| 99173 |
|
274 |
239 |
$4K |
| 82044 |
|
1,198 |
1,057 |
$3K |
| 99000 |
|
1,003 |
843 |
$3K |
| 99205 |
Prolong outpt/office vis |
34 |
31 |
$3K |
| 93000 |
|
229 |
203 |
$3K |
| 86580 |
|
552 |
515 |
$3K |
| 99442 |
|
242 |
180 |
$2K |
| 81003 |
|
1,435 |
1,257 |
$2K |
| 85018 |
|
1,174 |
1,066 |
$2K |
| D0120 |
Periodic oral evaluation - established patient |
244 |
213 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
78 |
$2K |
| 36416 |
|
3,006 |
2,529 |
$2K |
| 90756 |
|
60 |
54 |
$712.06 |
| 99497 |
|
52 |
38 |
$442.89 |
| 99406 |
|
40 |
31 |
$392.28 |
| H0050 |
Alcohol and/or drug services, brief intervention, per 15 minutes |
13 |
12 |
$226.16 |
| 96127 |
|
13 |
12 |
$44.13 |
| 99401 |
|
44 |
41 |
$30.00 |
| G0008 |
Administration of influenza virus vaccine |
85 |
76 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
22 |
12 |
$0.00 |
| 3008F |
|
15 |
15 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
14 |
13 |
$0.00 |
| G0446 |
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes |
22 |
12 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$0.00 |