| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 93000 |
|
1,606 |
1,602 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,323 |
5,920 |
$18K |
| 99215 |
Prolong outpt/office vis |
1,360 |
1,352 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
55 |
53 |
$2K |
| 92551 |
|
771 |
770 |
$757.14 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
602 |
601 |
$647.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
563 |
517 |
$561.98 |
| 99173 |
|
637 |
637 |
$545.30 |
| 99172 |
|
766 |
763 |
$340.30 |
| 1160F |
|
704 |
703 |
$281.20 |
| 92552 |
|
433 |
433 |
$279.91 |
| 1159F |
|
841 |
840 |
$266.40 |
| 94760 |
|
1,432 |
1,403 |
$260.20 |
| 3074F |
|
2,917 |
2,785 |
$258.18 |
| 1170F |
|
1,027 |
1,027 |
$237.80 |
| 1157F |
|
734 |
732 |
$209.10 |
| 3078F |
|
2,469 |
2,352 |
$184.50 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119 |
114 |
$175.40 |
| 99442 |
|
1,101 |
1,060 |
$169.74 |
| 4000F |
|
268 |
266 |
$164.00 |
| 1125F |
|
759 |
758 |
$164.00 |
| 3077F |
|
1,264 |
1,217 |
$159.90 |
| 3079F |
|
1,465 |
1,416 |
$159.90 |
| 3725F |
|
93 |
93 |
$77.90 |
| 3080F |
|
859 |
831 |
$57.40 |
| 99441 |
|
905 |
842 |
$30.78 |
| 1158F |
|
175 |
175 |
$28.70 |
| 3048F |
|
160 |
160 |
$28.70 |
| 3008F |
|
43 |
43 |
$28.70 |
| 86631 |
|
14 |
14 |
$24.60 |
| 3075F |
|
802 |
784 |
$24.60 |
| 3044F |
|
294 |
292 |
$24.60 |
| 99070 |
|
14 |
14 |
$5.40 |
| 80061 |
Lipid panel |
161 |
159 |
$0.00 |
| 99421 |
|
45 |
43 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 97803 |
|
12 |
12 |
$0.00 |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
464 |
462 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
21 |
20 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
196 |
193 |
$0.00 |
| 3061F |
|
95 |
95 |
$0.00 |
| 82043 |
|
97 |
95 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
18 |
$0.00 |
| 81000 |
|
27 |
26 |
$0.00 |
| 3060F |
|
34 |
34 |
$0.00 |
| 99422 |
|
39 |
37 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |
| 87850 |
|
14 |
14 |
$0.00 |
| 84436 |
|
12 |
12 |
$0.00 |