| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,951 |
4,896 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,199 |
758 |
$514.49 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,374 |
2,001 |
$56.72 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
112 |
112 |
$30.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
112 |
112 |
$30.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,892 |
1,521 |
$18.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
633 |
628 |
$8.92 |
| 36415 |
Collection of venous blood by venipuncture |
5,789 |
5,291 |
$5.88 |
| 80061 |
Lipid panel |
2,790 |
2,780 |
$0.00 |
| 99442 |
|
977 |
915 |
$0.00 |
| 82540 |
|
680 |
666 |
$0.00 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
102 |
87 |
$0.00 |
| 3077F |
|
110 |
93 |
$0.00 |
| 82274 |
|
235 |
233 |
$0.00 |
| 86703 |
|
286 |
285 |
$0.00 |
| 84439 |
|
190 |
189 |
$0.00 |
| 3078F |
|
722 |
659 |
$0.00 |
| 90658 |
|
13 |
13 |
$0.00 |
| 80076 |
|
12 |
12 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
16 |
16 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,027 |
2,835 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
3,533 |
3,323 |
$0.00 |
| 85027 |
|
34 |
33 |
$0.00 |
| 90656 |
|
36 |
36 |
$0.00 |
| 87340 |
|
13 |
13 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
125 |
124 |
$0.00 |
| 82043 |
|
680 |
666 |
$0.00 |
| 1220F |
|
1,278 |
1,237 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,902 |
2,884 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,432 |
1,409 |
$0.00 |
| 99441 |
|
1,083 |
1,028 |
$0.00 |
| 87522 |
Neg quan hep c or qual rna |
153 |
152 |
$0.00 |
| 3074F |
|
465 |
426 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
345 |
334 |
$0.00 |
| 3044F |
|
223 |
222 |
$0.00 |
| 82728 |
|
12 |
12 |
$0.00 |
| 90686 |
|
207 |
207 |
$0.00 |
| 1111F |
|
169 |
158 |
$0.00 |
| 92250 |
|
13 |
12 |
$0.00 |
| 3079F |
|
31 |
27 |
$0.00 |
| 81001 |
|
26 |
25 |
$0.00 |
| 3008F |
|
39 |
38 |
$0.00 |
| 3075F |
|
125 |
117 |
$0.00 |
| 81000 |
|
12 |
12 |
$0.00 |
| 86780 |
|
12 |
12 |
$0.00 |
| 90674 |
|
12 |
12 |
$0.00 |