| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,404 |
1,297 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
373 |
358 |
$1K |
| Q2038 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) |
32 |
30 |
$949.17 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
35 |
33 |
$360.00 |
| 94760 |
|
78 |
71 |
$122.72 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
78 |
76 |
$83.47 |
| 3078F |
|
125 |
116 |
$0.00 |
| 80061 |
Lipid panel |
131 |
129 |
$0.00 |
| 81003 |
|
112 |
110 |
$0.00 |
| 99442 |
|
15 |
14 |
$0.00 |
| 99397 |
|
20 |
15 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
78 |
76 |
$0.00 |
| 3074F |
|
139 |
129 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
115 |
115 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
323 |
306 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
130 |
126 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
190 |
187 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
13 |
$0.00 |
| 85027 |
|
27 |
27 |
$0.00 |