| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
187 |
184 |
$55.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,018 |
932 |
$44.00 |
| 1159F |
|
398 |
388 |
$2.00 |
| 3008F |
|
331 |
319 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
212 |
208 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
203 |
201 |
$0.00 |
| 3061F |
|
62 |
62 |
$0.00 |
| 3044F |
|
44 |
44 |
$0.00 |
| 99443 |
|
193 |
179 |
$0.00 |
| 99000 |
|
210 |
207 |
$0.00 |
| 3048F |
|
17 |
17 |
$0.00 |
| 82043 |
|
202 |
199 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
31 |
28 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
22 |
22 |
$0.00 |
| 1126F |
|
13 |
13 |
$0.00 |
| 3074F |
|
69 |
69 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 1170F |
|
32 |
32 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |
| 3049F |
|
14 |
13 |
$0.00 |
| 80061 |
Lipid panel |
202 |
200 |
$0.00 |
| 99499 |
|
118 |
117 |
$0.00 |
| 1158F |
|
32 |
32 |
$0.00 |
| 1160F |
|
396 |
386 |
$0.00 |
| 3078F |
|
133 |
131 |
$0.00 |
| 0521F |
|
14 |
14 |
$0.00 |