| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
209 |
208 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,088 |
1,037 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
461 |
441 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
152 |
$757.90 |
| 81003 |
|
102 |
101 |
$693.00 |
| 94760 |
|
12 |
12 |
$530.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
13 |
$75.00 |
| 3078F |
|
113 |
111 |
$0.00 |
| 80061 |
Lipid panel |
215 |
213 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
43 |
42 |
$0.00 |
| G9920 |
Screening performed and negative |
21 |
21 |
$0.00 |
| 84439 |
|
12 |
12 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
316 |
300 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
243 |
236 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
410 |
380 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
159 |
158 |
$0.00 |
| 81001 |
|
90 |
88 |
$0.00 |
| 82607 |
|
175 |
173 |
$0.00 |
| 3074F |
|
113 |
111 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
193 |
191 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
310 |
299 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
58 |
57 |
$0.00 |
| 84153 |
|
12 |
12 |
$0.00 |
| 3008F |
|
135 |
130 |
$0.00 |
| 99385 |
|
30 |
30 |
$0.00 |