| Code | Description | Claims | Beneficiaries | Total Paid |
| 92551 |
|
68 |
68 |
$142.34 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
687 |
625 |
$142.04 |
| 99173 |
|
54 |
54 |
$0.00 |
| G0270 |
Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes |
57 |
56 |
$0.00 |
| 80061 |
Lipid panel |
88 |
87 |
$0.00 |
| 3725F |
|
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
146 |
137 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
93 |
92 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
75 |
74 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
349 |
335 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
105 |
102 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
127 |
121 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
60 |
59 |
$0.00 |
| 3008F |
|
62 |
62 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |