| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,017 |
8,053 |
$578K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,609 |
6,245 |
$283K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,406 |
652 |
$155K |
| 11721 |
|
3,762 |
3,586 |
$69K |
| 99215 |
Prolong outpt/office vis |
148 |
125 |
$16K |
| 92015 |
Determination of refractive state |
778 |
696 |
$8K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
65 |
64 |
$8K |
| 90834 |
Psychotherapy, 45 minutes with patient |
97 |
69 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
3,245 |
2,884 |
$7K |
| 96127 |
|
236 |
233 |
$5K |
| 80053 |
Comprehensive metabolic panel |
845 |
768 |
$4K |
| 90686 |
|
217 |
199 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
108 |
104 |
$2K |
| V2020 |
Frames, purchases |
52 |
51 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
614 |
562 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
65 |
65 |
$2K |
| 80061 |
Lipid panel |
244 |
229 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
106 |
103 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
12 |
$596.34 |
| 92002 |
|
13 |
13 |
$586.08 |
| 92250 |
|
25 |
13 |
$375.37 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$292.15 |
| D0274 |
Bitewings - four radiographic images |
16 |
16 |
$261.72 |
| D0220 |
Intraoral - periapical first radiographic image |
47 |
47 |
$243.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
44 |
39 |
$233.02 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$176.50 |
| D0230 |
Intraoral - periapical each additional radiographic image |
33 |
33 |
$158.20 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$76.82 |
| 85027 |
|
19 |
12 |
$72.50 |
| 1126F |
|
17 |
17 |
$0.05 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
247 |
218 |
$0.02 |
| 3078F |
|
70 |
61 |
$0.00 |
| G9717 |
Documentation stating the patient has had a diagnosis of bipolar disorder |
43 |
42 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
28 |
28 |
$0.00 |
| 3074F |
|
68 |
60 |
$0.00 |
| 4450F |
|
88 |
81 |
$0.00 |