| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99345 |
Prolong home eval add 15m |
4,584 |
777 |
$280K |
| S9097 |
Home visit for wound care |
3,944 |
681 |
$256K |
| T1002 |
Rn services, up to 15 minutes |
817 |
154 |
$40K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,138 |
416 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36,534 |
31,189 |
$15K |
| 99215 |
Prolong outpt/office vis |
8,956 |
7,787 |
$12K |
| 96160 |
|
324 |
308 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,099 |
1,067 |
$4K |
| 99205 |
Prolong outpt/office vis |
369 |
364 |
$2K |
| 99341 |
|
12 |
12 |
$840.00 |
| 99050 |
|
81 |
78 |
$652.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
77 |
77 |
$434.00 |
| 99201 |
|
15 |
14 |
$225.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
654 |
614 |
$83.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,168 |
1,935 |
$44.12 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,540 |
2,301 |
$24.31 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
406 |
334 |
$0.16 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,024 |
943 |
$0.12 |
| 96152 |
|
241 |
193 |
$0.00 |
| 1160F |
|
554 |
467 |
$0.00 |
| 1158F |
|
151 |
130 |
$0.00 |
| 80061 |
Lipid panel |
738 |
734 |
$0.00 |
| 2028F |
|
159 |
145 |
$0.00 |
| 1159F |
|
474 |
404 |
$0.00 |
| 6080F |
|
136 |
125 |
$0.00 |
| 3078F |
|
857 |
777 |
$0.00 |
| 4035F |
|
24 |
14 |
$0.00 |
| 0518F |
|
193 |
170 |
$0.00 |
| 3725F |
|
180 |
159 |
$0.00 |
| 99442 |
|
40 |
40 |
$0.00 |
| 90832 |
Psychotherapy, 30 minutes with patient |
81 |
70 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$0.00 |
| 84439 |
|
17 |
12 |
$0.00 |
| 0521F |
|
24 |
14 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,004 |
982 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
676 |
676 |
$0.00 |
| 3074F |
|
907 |
821 |
$0.00 |
| 3008F |
|
996 |
881 |
$0.00 |
| 84153 |
|
46 |
46 |
$0.00 |
| 99383 |
|
15 |
15 |
$0.00 |
| 1126F |
|
229 |
196 |
$0.00 |
| 80050 |
General health panel |
299 |
299 |
$0.00 |
| 3075F |
|
172 |
159 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
338 |
338 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
620 |
598 |
$0.00 |
| 81000 |
|
761 |
755 |
$0.00 |
| 99443 |
|
15 |
14 |
$0.00 |
| 2000F |
|
28 |
28 |
$0.00 |
| 3079F |
|
240 |
223 |
$0.00 |
| 87110 |
|
62 |
62 |
$0.00 |
| 99441 |
|
136 |
128 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
308 |
285 |
$0.00 |
| 1170F |
|
219 |
183 |
$0.00 |
| 80069 |
|
25 |
24 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
201 |
198 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
41 |
40 |
$0.00 |
| 82270 |
|
87 |
87 |
$0.00 |
| 84436 |
|
18 |
18 |
$0.00 |
| 96150 |
|
51 |
51 |
$0.00 |
| 99384 |
|
12 |
12 |
$0.00 |
| 1125F |
|
47 |
43 |
$0.00 |
| 84479 |
|
16 |
16 |
$0.00 |
| 2010F |
|
28 |
28 |
$0.00 |