| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
505 |
449 |
$226.88 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
613 |
413 |
$157.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
312 |
287 |
$117.81 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
61 |
61 |
$88.63 |
| 36415 |
Collection of venous blood by venipuncture |
629 |
606 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
262 |
258 |
$0.00 |
| 1220F |
|
307 |
297 |
$0.00 |
| 81001 |
|
364 |
340 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
74 |
74 |
$0.00 |
| 92551 |
|
195 |
150 |
$0.00 |
| 4450F |
|
392 |
374 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
250 |
246 |
$0.00 |
| 85027 |
|
69 |
69 |
$0.00 |
| 81015 |
|
15 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
127 |
126 |
$0.00 |
| 90686 |
|
40 |
40 |
$0.00 |
| 94760 |
|
24 |
19 |
$0.00 |
| 80061 |
Lipid panel |
251 |
248 |
$0.00 |
| 99173 |
|
176 |
132 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
176 |
126 |
$0.00 |
| 86703 |
|
33 |
33 |
$0.00 |
| G9920 |
Screening performed and negative |
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
88 |
68 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
146 |
144 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
64 |
62 |
$0.00 |
| 90658 |
|
42 |
42 |
$0.00 |