| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,656 |
2,241 |
$46K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,616 |
1,384 |
$44K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
31 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
107 |
106 |
$128.00 |
| 90688 |
|
20 |
19 |
$96.82 |
| 3074F |
|
1,373 |
1,156 |
$96.02 |
| 99406 |
|
18 |
16 |
$95.88 |
| 36415 |
Collection of venous blood by venipuncture |
119 |
107 |
$86.16 |
| 84443 |
Thyroid stimulating hormone (TSH) |
39 |
38 |
$31.50 |
| 84481 |
|
39 |
39 |
$25.10 |
| 3075F |
|
86 |
84 |
$21.16 |
| 80061 |
Lipid panel |
47 |
47 |
$19.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$17.10 |
| 84439 |
|
39 |
39 |
$13.36 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
34 |
34 |
$7.20 |
| 3077F |
|
313 |
300 |
$0.14 |
| 1125F |
|
380 |
257 |
$0.03 |
| 3078F |
|
1,336 |
1,115 |
$0.01 |
| 1159F |
|
28 |
25 |
$0.00 |
| 1160F |
|
28 |
25 |
$0.00 |
| 1034F |
|
812 |
739 |
$0.00 |
| 3079F |
|
240 |
221 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
15 |
15 |
$0.00 |
| 3080F |
|
235 |
225 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
14 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
21 |
19 |
$0.00 |