| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107 |
94 |
$935.06 |
| 99215 |
Prolong outpt/office vis |
24 |
24 |
$188.66 |
| 90688 |
|
12 |
12 |
$182.16 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
19 |
19 |
$140.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
13 |
$70.72 |
| H0049 |
Alcohol and/or drug screening |
18 |
18 |
$56.00 |
| 36410 |
|
35 |
35 |
$42.98 |
| 81003 |
|
245 |
241 |
$0.00 |
| 80061 |
Lipid panel |
330 |
328 |
$0.00 |
| 3078F |
|
65 |
65 |
$0.00 |
| 4004F |
|
19 |
19 |
$0.00 |
| 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 |
123 |
123 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
483 |
451 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
266 |
261 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
293 |
286 |
$0.00 |
| 3079F |
|
58 |
58 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
411 |
401 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
165 |
164 |
$0.00 |
| 85027 |
|
90 |
88 |
$0.00 |
| 84153 |
|
15 |
15 |
$0.00 |
| 3075F |
|
47 |
47 |
$0.00 |
| 82043 |
|
12 |
12 |
$0.00 |
| 99050 |
|
34 |
32 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$0.00 |
| 3074F |
|
76 |
76 |
$0.00 |