| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
513 |
467 |
$40K |
| 99442 |
|
142 |
131 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129 |
117 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$2K |
| 99441 |
|
35 |
31 |
$989.46 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
14 |
12 |
$678.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$572.48 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
15 |
$131.39 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$80.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
16 |
$72.65 |
| 82728 |
|
14 |
14 |
$67.74 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
12 |
12 |
$66.65 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$52.63 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$49.02 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
17 |
15 |
$16.50 |
| 3074F |
|
73 |
68 |
$0.07 |
| 1220F |
|
71 |
67 |
$0.07 |
| 3078F |
|
82 |
77 |
$0.05 |
| 3075F |
|
13 |
13 |
$0.02 |
| 3037F |
|
14 |
14 |
$0.01 |
| 99000 |
|
13 |
13 |
$0.00 |
| 3079F |
|
15 |
14 |
$0.00 |
| 3008F |
|
54 |
50 |
$0.00 |
| 3044F |
|
50 |
48 |
$0.00 |
| 1036F |
|
67 |
63 |
$0.00 |
| 1159F |
|
197 |
179 |
$0.00 |
| 3077F |
|
14 |
14 |
$0.00 |