| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,498 |
2,915 |
$153K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,502 |
2,233 |
$148K |
| 93000 |
|
467 |
400 |
$9K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
83 |
67 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$856.95 |
| 99490 |
Ccm add 20min |
134 |
134 |
$661.63 |
| 90682 |
|
16 |
14 |
$602.04 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
75 |
39 |
$466.20 |
| 80053 |
Comprehensive metabolic panel |
46 |
24 |
$425.22 |
| 80050 |
General health panel |
39 |
39 |
$404.70 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
21 |
12 |
$372.96 |
| 94760 |
|
77 |
58 |
$293.21 |
| 81001 |
|
79 |
52 |
$220.22 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$115.50 |
| 80061 |
Lipid panel |
13 |
13 |
$92.74 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$74.62 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
13 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
13 |
$0.00 |