| Code | Description | Claims | Bene. Records | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,347 |
2,039 |
$194K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,252 |
1,844 |
$137K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
341 |
306 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
194 |
182 |
$17K |
| 99215 |
Prolong outpt/office vis |
55 |
46 |
$7K |
| 99205 |
Prolong outpt/office vis |
32 |
30 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
48 |
40 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
73 |
64 |
$3K |
| 96127 |
|
300 |
261 |
$2K |
| 80053 |
Comprehensive metabolic panel |
86 |
81 |
$713.64 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
13 |
$662.08 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
86 |
68 |
$518.34 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
14 |
$442.94 |
| 99173 |
|
35 |
29 |
$303.22 |
| 80061 |
Lipid panel |
26 |
25 |
$147.29 |
| 81003 |
|
72 |
56 |
$102.50 |
| 99000 |
|
81 |
73 |
$26.00 |
| 36415 |
Collection of venous blood by venipuncture |
57 |
54 |
$23.52 |
| 36416 |
|
73 |
54 |
$3.24 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
82 |
74 |
$0.00 |
| 1159F |
|
431 |
363 |
$0.00 |
| 3078F |
|
140 |
124 |
$0.00 |
| 1160F |
|
435 |
366 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$0.00 |
| 90461 |
|
14 |
12 |
$0.00 |
| 3725F |
|
15 |
12 |
$0.00 |
| 3008F |
|
1,091 |
979 |
$0.00 |
| 90686 |
|
14 |
12 |
$0.00 |
| 3074F |
|
181 |
156 |
$0.00 |
| 3075F |
|
16 |
13 |
$0.00 |
| 1126F |
|
34 |
19 |
$0.00 |
| 3079F |
|
49 |
42 |
$0.00 |