| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,297 |
2,219 |
$174K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,364 |
1,286 |
$67K |
| 99490 |
Ccm add 20min |
280 |
279 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,131 |
1,113 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
351 |
351 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 81000 |
|
264 |
263 |
$743.77 |
| 90674 |
|
13 |
13 |
$387.30 |
| 94060 |
|
12 |
12 |
$383.29 |
| 80061 |
Lipid panel |
27 |
27 |
$242.22 |
| 71046 |
Radiologic examination, chest; 2 views |
13 |
13 |
$184.76 |
| 81002 |
|
60 |
60 |
$145.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$142.28 |
| 93000 |
|
13 |
13 |
$89.82 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$72.97 |
| 3079F |
|
770 |
747 |
$0.11 |
| 3078F |
|
36 |
36 |
$0.00 |
| 3074F |
|
477 |
463 |
$0.00 |
| 3075F |
|
199 |
191 |
$0.00 |