| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,857 |
8,926 |
$427K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,388 |
3,319 |
$173K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
378 |
375 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
833 |
825 |
$13K |
| 90756 |
|
706 |
693 |
$12K |
| 99493 |
|
189 |
186 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
118 |
118 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
972 |
952 |
$5K |
| 90686 |
|
276 |
275 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
126 |
125 |
$3K |
| ATP17 |
|
460 |
460 |
$3K |
| ATP14 |
|
194 |
193 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
281 |
280 |
$2K |
| 80053 |
Comprehensive metabolic panel |
1,037 |
1,026 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
102 |
102 |
$1K |
| G0181 |
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans |
40 |
40 |
$1K |
| 80061 |
Lipid panel |
910 |
904 |
$1K |
| 90661 |
|
69 |
68 |
$1K |
| G0008 |
Administration of influenza virus vaccine |
324 |
315 |
$774.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
42 |
40 |
$736.20 |
| 99442 |
|
44 |
39 |
$639.12 |
| 99215 |
Prolong outpt/office vis |
25 |
25 |
$561.86 |
| 93000 |
|
42 |
41 |
$434.62 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
290 |
290 |
$391.57 |
| 82043 |
|
93 |
93 |
$279.76 |
| 82728 |
|
15 |
14 |
$168.60 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
12 |
12 |
$114.48 |
| 90674 |
|
39 |
39 |
$0.00 |