| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,928 |
3,872 |
$308K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
784 |
722 |
$69K |
| 82607 |
|
915 |
913 |
$8K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
76 |
76 |
$7K |
| 82728 |
|
604 |
602 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
240 |
240 |
$5K |
| 80053 |
Comprehensive metabolic panel |
621 |
619 |
$5K |
| 80061 |
Lipid panel |
684 |
683 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
517 |
515 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
127 |
119 |
$3K |
| 83550 |
|
581 |
579 |
$2K |
| 83735 |
|
606 |
605 |
$2K |
| 83540 |
|
582 |
580 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
24 |
24 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,631 |
1,566 |
$2K |
| 86140 |
|
588 |
588 |
$2K |
| 84550 |
|
491 |
490 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
557 |
554 |
$1K |
| 80050 |
General health panel |
69 |
69 |
$1K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
48 |
46 |
$1K |
| 81001 |
|
412 |
405 |
$947.89 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
149 |
149 |
$937.98 |
| 90686 |
|
34 |
34 |
$665.77 |
| 90688 |
|
32 |
32 |
$631.65 |
| G0008 |
Administration of influenza virus vaccine |
52 |
52 |
$331.99 |
| 93000 |
|
25 |
25 |
$241.02 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
165 |
165 |
$148.05 |
| 82043 |
|
27 |
27 |
$97.37 |
| 84436 |
|
12 |
12 |
$51.08 |
| 81002 |
|
15 |
12 |
$24.00 |
| 99072 |
|
26 |
20 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
44 |
39 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
59 |
50 |
$0.00 |