| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,144 |
881 |
$38K |
| 36415 |
Collection of venous blood by venipuncture |
535 |
457 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
191 |
152 |
$538.66 |
| 81001 |
|
132 |
110 |
$499.08 |
| 87428 |
|
32 |
26 |
$447.16 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
144 |
125 |
$312.69 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
140 |
123 |
$274.80 |
| 82570 |
|
132 |
110 |
$186.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$150.91 |
| 82044 |
|
70 |
63 |
$94.51 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
41 |
36 |
$69.23 |
| 84460 |
|
62 |
55 |
$66.50 |
| 84450 |
|
62 |
55 |
$64.99 |
| 84550 |
|
61 |
54 |
$54.24 |
| 90673 |
|
33 |
33 |
$42.75 |
| 83718 |
|
17 |
12 |
$19.23 |
| 84478 |
|
19 |
13 |
$16.08 |
| 3078F |
|
119 |
103 |
$0.00 |
| 1160F |
|
138 |
123 |
$0.00 |
| 1159F |
|
137 |
123 |
$0.00 |
| 3074F |
|
55 |
52 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
33 |
33 |
$0.00 |
| 1036F |
|
142 |
127 |
$0.00 |
| 1125F |
|
27 |
25 |
$0.00 |
| 1126F |
|
26 |
26 |
$0.00 |