| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,850 |
5,319 |
$414K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,753 |
1,654 |
$94K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
145 |
140 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,591 |
2,355 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
488 |
472 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
43 |
39 |
$3K |
| 80061 |
Lipid panel |
219 |
215 |
$2K |
| 80053 |
Comprehensive metabolic panel |
300 |
288 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
170 |
169 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
76 |
72 |
$1K |
| 99441 |
|
85 |
49 |
$1K |
| 85027 |
|
171 |
169 |
$981.42 |
| 90686 |
|
156 |
155 |
$929.87 |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
12 |
12 |
$814.43 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
80 |
78 |
$699.31 |
| 96127 |
|
112 |
112 |
$534.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
70 |
64 |
$415.11 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
12 |
12 |
$361.80 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
43 |
42 |
$335.70 |
| 99188 |
|
40 |
37 |
$281.98 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
53 |
51 |
$245.86 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
68 |
66 |
$160.04 |
| 99000 |
|
13 |
13 |
$156.00 |
| 99421 |
|
26 |
24 |
$14.72 |
| 90670 |
|
41 |
37 |
$0.00 |
| 90698 |
|
34 |
30 |
$0.00 |
| 90744 |
|
17 |
13 |
$0.00 |