| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
446 |
421 |
$10K |
| 99199 |
Unlisted special service, procedure or report |
695 |
639 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
290 |
245 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
83 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
68 |
27 |
$3K |
| 80061 |
Lipid panel |
495 |
472 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
267 |
252 |
$886.04 |
| 93000 |
|
109 |
106 |
$809.20 |
| 99406 |
|
132 |
120 |
$803.75 |
| 36415 |
Collection of venous blood by venipuncture |
651 |
581 |
$665.00 |
| 90756 |
|
76 |
74 |
$532.65 |
| G0506 |
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) |
15 |
14 |
$308.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$169.30 |
| 81002 |
|
103 |
97 |
$138.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$133.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
16 |
16 |
$0.00 |
| 99000 |
|
85 |
82 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
21 |
21 |
$0.00 |