| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
787 |
724 |
$20K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
104 |
100 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
43 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
51 |
51 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
436 |
407 |
$393.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
73 |
66 |
$374.65 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$275.29 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15 |
15 |
$60.00 |
| 99442 |
|
15 |
15 |
$32.20 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
303 |
251 |
$0.00 |
| 1036F |
|
822 |
695 |
$0.00 |
| 99000 |
|
528 |
451 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
514 |
448 |
$0.00 |
| 3075F |
|
136 |
128 |
$0.00 |
| 1034F |
|
395 |
342 |
$0.00 |
| 1125F |
|
367 |
328 |
$0.00 |
| 1126F |
|
266 |
249 |
$0.00 |
| 4000F |
|
252 |
229 |
$0.00 |
| 3079F |
|
408 |
366 |
$0.00 |
| 3074F |
|
780 |
715 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19 |
19 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
18 |
18 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
17 |
$0.00 |
| 3080F |
|
12 |
12 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
108 |
101 |
$0.00 |
| 96160 |
|
810 |
715 |
$0.00 |
| 3078F |
|
676 |
593 |
$0.00 |
| 1159F |
|
774 |
685 |
$0.00 |
| 1160F |
|
757 |
669 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
843 |
723 |
$0.00 |
| 3077F |
|
74 |
71 |
$0.00 |
| G8511 |
Screening for depression documented as positive, follow-up plan not documented, reason not given |
123 |
104 |
$0.00 |
| 80061 |
Lipid panel |
19 |
19 |
$0.00 |
| 84439 |
|
18 |
18 |
$0.00 |