| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,608 |
1,391 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
725 |
637 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
977 |
777 |
$6K |
| 80061 |
Lipid panel |
884 |
787 |
$4K |
| 90670 |
|
44 |
43 |
$3K |
| 82947 |
|
843 |
740 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
98 |
92 |
$1K |
| 90658 |
|
82 |
76 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
1,642 |
1,399 |
$885.09 |
| 93000 |
|
60 |
50 |
$475.26 |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
623 |
556 |
$40.31 |
| 81002 |
|
25 |
14 |
$25.40 |
| 90686 |
|
49 |
48 |
$19.03 |
| 1159F |
|
36 |
24 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
42 |
38 |
$0.00 |
| 83037 |
|
54 |
50 |
$0.00 |
| 90756 |
|
37 |
37 |
$0.00 |
| 1158F |
|
36 |
24 |
$0.00 |
| 1160F |
|
14 |
13 |
$0.00 |
| 1126F |
|
176 |
154 |
$0.00 |
| 3008F |
|
73 |
60 |
$0.00 |
| 3044F |
|
58 |
52 |
$0.00 |
| 1170F |
|
371 |
318 |
$0.00 |
| 36416 |
|
50 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
137 |
92 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
12 |
$0.00 |
| 3048F |
|
13 |
13 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
13 |
13 |
$0.00 |