| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,550 |
1,624 |
$60.88 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
941 |
939 |
$0.00 |
| 80061 |
Lipid panel |
603 |
603 |
$0.00 |
| 90461 |
|
295 |
295 |
$0.00 |
| 99173 |
|
472 |
426 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
115 |
103 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
500 |
455 |
$0.00 |
| 90670 |
|
70 |
70 |
$0.00 |
| 90653 |
|
136 |
136 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
176 |
127 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
88 |
47 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
150 |
150 |
$0.00 |
| 99442 |
|
12 |
12 |
$0.00 |
| 82947 |
|
12 |
12 |
$0.00 |
| 91300 |
|
17 |
17 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
711 |
708 |
$0.00 |
| 4450F |
|
1,179 |
1,158 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
903 |
581 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
496 |
493 |
$0.00 |
| 92551 |
|
597 |
484 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,436 |
1,401 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
815 |
813 |
$0.00 |
| 85027 |
|
109 |
109 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
122 |
121 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
313 |
313 |
$0.00 |
| 99441 |
|
26 |
26 |
$0.00 |
| 90686 |
|
82 |
82 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
30 |
$0.00 |
| 1220F |
|
13 |
12 |
$0.00 |
| 90647 |
|
28 |
28 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |