| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,039 |
931 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
252 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
70 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
49 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
51 |
51 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
112 |
84 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
96 |
91 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$993.32 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
150 |
135 |
$831.99 |
| 36415 |
Collection of venous blood by venipuncture |
233 |
209 |
$458.08 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
50 |
42 |
$245.51 |
| 90715 |
|
19 |
19 |
$210.65 |
| 90700 |
|
16 |
16 |
$179.30 |
| 90698 |
|
19 |
16 |
$145.75 |
| 90713 |
|
12 |
12 |
$134.20 |
| 90670 |
|
17 |
14 |
$123.20 |
| 99406 |
|
15 |
12 |
$82.56 |
| 81001 |
|
16 |
14 |
$38.28 |
| 85018 |
|
12 |
12 |
$34.00 |
| 1036F |
|
76 |
66 |
$0.00 |
| G9745 |
Documented reason for not screening or recommending a follow-up for high blood pressure |
14 |
14 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
16 |
16 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
29 |
29 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
12 |
12 |
$0.00 |