| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,375 |
5,837 |
$438K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,173 |
7,350 |
$364K |
| 36415 |
Collection of venous blood by venipuncture |
5,637 |
5,196 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
920 |
897 |
$12K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
901 |
866 |
$7K |
| 90686 |
|
555 |
539 |
$6K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
82 |
78 |
$3K |
| 85027 |
|
693 |
658 |
$3K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
307 |
291 |
$2K |
| 90688 |
|
300 |
297 |
$2K |
| 80061 |
Lipid panel |
180 |
177 |
$2K |
| 80053 |
Comprehensive metabolic panel |
149 |
149 |
$1K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
182 |
175 |
$1K |
| 90656 |
|
75 |
74 |
$879.82 |
| 80305 |
|
25 |
24 |
$265.37 |
| 92551 |
|
33 |
31 |
$231.16 |
| 0011A |
|
17 |
17 |
$198.00 |
| 99173 |
|
25 |
25 |
$41.21 |
| X5622 |
|
41 |
39 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
32 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
77 |
77 |
$0.00 |