| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,226 |
1,176 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
822 |
773 |
$13K |
| 95943 |
|
45 |
45 |
$685.65 |
| 92250 |
|
24 |
24 |
$419.99 |
| 93040 |
|
48 |
48 |
$152.53 |
| 93000 |
|
16 |
16 |
$84.05 |
| 90674 |
|
185 |
183 |
$61.27 |
| 90656 |
|
175 |
173 |
$18.34 |
| 80053 |
Comprehensive metabolic panel |
151 |
148 |
$16.17 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
104 |
103 |
$5.17 |
| 81003 |
|
46 |
43 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
181 |
179 |
$0.00 |
| 82570 |
|
43 |
43 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
1,465 |
1,406 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
389 |
376 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
258 |
257 |
$0.00 |
| 82043 |
|
55 |
55 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
179 |
177 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$0.00 |