| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,941 |
3,359 |
$174K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,592 |
2,187 |
$64K |
| 36415 |
Collection of venous blood by venipuncture |
1,585 |
1,399 |
$3K |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$944.00 |
| 87428 |
|
16 |
13 |
$737.10 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
13 |
$629.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
14 |
12 |
$563.03 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
20 |
$426.75 |
| 80061 |
Lipid panel |
251 |
212 |
$363.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
356 |
300 |
$244.20 |
| 80053 |
Comprehensive metabolic panel |
300 |
256 |
$241.60 |
| 84443 |
Thyroid stimulating hormone (TSH) |
111 |
97 |
$191.84 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
17 |
16 |
$186.62 |
| 87430 |
|
15 |
15 |
$155.22 |
| 90686 |
|
17 |
16 |
$141.57 |
| G0008 |
Administration of influenza virus vaccine |
22 |
12 |
$123.60 |
| 3074F |
|
1,686 |
1,510 |
$110.00 |
| 3078F |
|
1,498 |
1,336 |
$100.00 |
| 86710 |
|
74 |
61 |
$97.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
74 |
61 |
$62.62 |
| 81003 |
|
230 |
191 |
$58.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
69 |
$51.48 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
20 |
15 |
$41.61 |
| 87081 |
|
47 |
40 |
$28.41 |
| 3079F |
|
221 |
204 |
$20.00 |
| 1220F |
|
2,440 |
2,158 |
$0.00 |
| 1123F |
|
17 |
17 |
$0.00 |
| 1126F |
|
489 |
443 |
$0.00 |
| 3075F |
|
113 |
95 |
$0.00 |
| 1160F |
|
2,464 |
2,184 |
$0.00 |
| 1124F |
|
489 |
424 |
$0.00 |
| 1159F |
|
297 |
258 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
21 |
17 |
$0.00 |