| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,944 |
2,526 |
$199K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,806 |
1,601 |
$173K |
| 99215 |
Prolong outpt/office vis |
641 |
561 |
$87K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
346 |
343 |
$32K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
61 |
60 |
$14K |
| 80053 |
Comprehensive metabolic panel |
1,000 |
998 |
$7K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
68 |
67 |
$7K |
| 10030 |
|
12 |
12 |
$4K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
64 |
60 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
523 |
521 |
$3K |
| 80061 |
Lipid panel |
758 |
757 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
898 |
896 |
$3K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
12 |
12 |
$2K |
| 95250 |
|
17 |
17 |
$2K |
| 81003 |
|
1,113 |
1,109 |
$2K |
| 98929 |
|
13 |
12 |
$868.86 |
| 97802 |
|
28 |
24 |
$723.58 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$442.86 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$153.01 |
| 99401 |
|
14 |
13 |
$140.20 |