| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,932 |
3,404 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
501 |
471 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
75 |
68 |
$4K |
| 99441 |
|
147 |
123 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
836 |
789 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
57 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
139 |
126 |
$583.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
129 |
125 |
$439.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$427.36 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
48 |
44 |
$376.45 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
17 |
$368.25 |
| 82570 |
|
285 |
264 |
$364.79 |
| 90686 |
|
91 |
86 |
$180.71 |
| 81003 |
|
283 |
263 |
$156.63 |
| 36415 |
Collection of venous blood by venipuncture |
1,011 |
912 |
$39.00 |
| 82044 |
|
14 |
12 |
$25.63 |
| 99000 |
|
122 |
110 |
$0.95 |
| 3008F |
|
12 |
12 |
$0.00 |
| 1126F |
|
59 |
52 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
12 |
12 |
$0.00 |
| 1220F |
|
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
41 |
38 |
$0.00 |
| 1170F |
|
12 |
12 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
28 |
24 |
$0.00 |
| 1000F |
|
14 |
14 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
43 |
40 |
$0.00 |
| 1159F |
|
29 |
26 |
$0.00 |
| 1160F |
|
28 |
26 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
16 |
14 |
$0.00 |
| 3288F |
|
16 |
14 |
$0.00 |
| 99173 |
|
47 |
28 |
$0.00 |
| 1090F |
|
16 |
14 |
$0.00 |