| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,276 |
7,289 |
$374K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,833 |
4,265 |
$294K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
206 |
191 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
154 |
137 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,231 |
1,121 |
$12K |
| 90682 |
|
136 |
124 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
136 |
113 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
1,814 |
1,671 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
90 |
74 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
12 |
$1K |
| 80050 |
General health panel |
15 |
15 |
$574.44 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
18 |
$520.40 |
| 80061 |
Lipid panel |
25 |
24 |
$193.91 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$133.92 |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
16 |
$74.95 |
| 80053 |
Comprehensive metabolic panel |
16 |
16 |
$47.11 |
| 90686 |
|
113 |
110 |
$37.25 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$34.66 |
| 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) |
152 |
132 |
$13.60 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
18 |
16 |
$0.00 |