| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,423 |
1,323 |
$124K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,329 |
1,146 |
$68K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
283 |
263 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
425 |
394 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
42 |
34 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
109 |
59 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
45 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
150 |
132 |
$1K |
| 92557 |
|
15 |
15 |
$417.62 |
| 90686 |
|
95 |
89 |
$266.46 |
| 90656 |
|
74 |
68 |
$117.12 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
605 |
588 |
$5.00 |
| 80053 |
Comprehensive metabolic panel |
615 |
591 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
307 |
296 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
76 |
73 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
79 |
73 |
$0.00 |
| 80061 |
Lipid panel |
169 |
166 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
86 |
74 |
$0.00 |
| 84439 |
|
14 |
14 |
$0.00 |