| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
799 |
735 |
$40.91 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
331 |
317 |
$0.00 |
| 90713 |
|
98 |
95 |
$0.00 |
| 90648 |
|
86 |
79 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
116 |
109 |
$0.00 |
| 80061 |
Lipid panel |
124 |
121 |
$0.00 |
| 90700 |
|
154 |
148 |
$0.00 |
| 90734 |
|
122 |
114 |
$0.00 |
| 90633 |
|
95 |
91 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
277 |
270 |
$0.00 |
| 90670 |
|
86 |
82 |
$0.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
81 |
69 |
$0.00 |
| 84439 |
|
51 |
51 |
$0.00 |
| 83525 |
|
67 |
65 |
$0.00 |
| 90621 |
|
84 |
78 |
$0.00 |
| 92552 |
|
192 |
182 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
100 |
96 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
290 |
281 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 81003 |
|
33 |
30 |
$0.00 |
| 90707 |
|
42 |
41 |
$0.00 |
| 90715 |
|
119 |
111 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
750 |
717 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
132 |
130 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
323 |
313 |
$0.00 |
| 90686 |
|
97 |
92 |
$0.00 |
| 87081 |
|
15 |
15 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
291 |
285 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
265 |
258 |
$0.00 |
| 97802 |
|
281 |
281 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
86 |
84 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
99 |
97 |
$0.00 |
| 90651 |
|
240 |
235 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
129 |
127 |
$0.00 |
| 90716 |
|
30 |
29 |
$0.00 |
| 84436 |
|
34 |
33 |
$0.00 |