| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,180 |
2,837 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,368 |
1,255 |
$67K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,658 |
1,604 |
$8K |
| 99401 |
|
330 |
298 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
81 |
81 |
$5K |
| 3074F |
|
2,803 |
2,525 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
3,330 |
3,228 |
$3K |
| 93000 |
|
246 |
243 |
$2K |
| 81000 |
|
1,717 |
1,653 |
$2K |
| 3078F |
|
1,595 |
1,431 |
$2K |
| 1111F |
|
567 |
509 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$1K |
| 99441 |
|
36 |
32 |
$964.18 |
| 90756 |
|
60 |
59 |
$882.31 |
| 90685 |
|
41 |
41 |
$731.41 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
68 |
67 |
$608.99 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
59 |
57 |
$435.38 |
| 94010 |
|
15 |
12 |
$308.17 |
| 90686 |
|
13 |
13 |
$106.22 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$102.16 |
| 80061 |
Lipid panel |
138 |
137 |
$33.28 |
| 1159F |
|
1,355 |
1,210 |
$20.00 |
| 1126F |
|
436 |
412 |
$15.00 |
| 1170F |
|
200 |
178 |
$5.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,112 |
1,008 |
$0.00 |
| 97802 |
|
89 |
84 |
$0.00 |
| 3014F |
|
27 |
26 |
$0.00 |
| 91301 |
|
12 |
12 |
$0.00 |
| 1030F |
|
12 |
12 |
$0.00 |
| 3288F |
|
430 |
389 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
596 |
544 |
$0.00 |
| 91300 |
|
46 |
45 |
$0.00 |