| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99000 |
|
407 |
393 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
260 |
257 |
$1K |
| 80061 |
Lipid panel |
272 |
272 |
$970.70 |
| 80053 |
Comprehensive metabolic panel |
260 |
258 |
$781.15 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
276 |
271 |
$701.35 |
| 90686 |
|
36 |
36 |
$419.18 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
48 |
48 |
$315.00 |
| 90716 |
|
13 |
13 |
$99.03 |
| 90707 |
|
14 |
14 |
$59.19 |
| H0049 |
Alcohol and/or drug screening |
57 |
57 |
$53.00 |
| 82962 |
|
90 |
84 |
$23.76 |
| 3725F |
|
26 |
26 |
$0.00 |
| 1033F |
|
81 |
81 |
$0.00 |
| 3078F |
|
351 |
325 |
$0.00 |
| 90714 |
|
12 |
12 |
$0.00 |
| 99442 |
|
15 |
15 |
$0.00 |
| 99408 |
|
120 |
120 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$0.00 |
| 84439 |
|
12 |
12 |
$0.00 |
| 90658 |
|
15 |
15 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
735 |
669 |
$0.00 |
| 3079F |
|
157 |
153 |
$0.00 |
| 1031F |
|
156 |
156 |
$0.00 |
| 3074F |
|
401 |
372 |
$0.00 |
| 3044F |
|
98 |
98 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
1,085 |
976 |
$0.00 |
| 1036F |
|
28 |
28 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
136 |
135 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,062 |
953 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
390 |
365 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
91 |
91 |
$0.00 |
| 1000F |
|
45 |
45 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
146 |
146 |
$0.00 |
| 3075F |
|
94 |
91 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
167 |
161 |
$0.00 |
| 3008F |
|
29 |
29 |
$0.00 |
| 81000 |
|
26 |
26 |
$0.00 |