| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,343 |
1,788 |
$24K |
| 99442 |
|
56 |
51 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
31 |
24 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
74 |
53 |
$852.00 |
| 81001 |
|
159 |
134 |
$44.54 |
| 96127 |
|
13 |
12 |
$11.70 |
| 3044F |
|
514 |
390 |
$10.00 |
| 3725F |
|
313 |
297 |
$0.01 |
| 1126F |
|
1,423 |
1,089 |
$0.01 |
| 1159F |
|
762 |
648 |
$0.00 |
| 80061 |
Lipid panel |
230 |
193 |
$0.00 |
| 1160F |
|
758 |
648 |
$0.00 |
| 3078F |
|
924 |
711 |
$0.00 |
| 99408 |
|
84 |
82 |
$0.00 |
| 2028F |
|
12 |
12 |
$0.00 |
| 3288F |
|
35 |
34 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
78 |
57 |
$0.00 |
| G9316 |
Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data, the specific risk calculator used, and communication of risk assessment from risk calculator with the patient or family |
195 |
190 |
$0.00 |
| 86703 |
|
75 |
56 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
49 |
49 |
$0.00 |
| 1158F |
|
23 |
23 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
12 |
$0.00 |
| 84439 |
|
55 |
40 |
$0.00 |
| 0521F |
|
24 |
23 |
$0.00 |
| 86631 |
|
39 |
31 |
$0.00 |
| 3077F |
|
68 |
57 |
$0.00 |
| 99497 |
|
29 |
27 |
$0.00 |
| 93793 |
|
16 |
16 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
32 |
29 |
$0.00 |
| 1220F |
|
1,250 |
963 |
$0.00 |
| 3074F |
|
984 |
751 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
234 |
190 |
$0.00 |
| 3008F |
|
1,790 |
1,389 |
$0.00 |
| 1000F |
|
1,532 |
1,139 |
$0.00 |
| 85027 |
|
119 |
105 |
$0.00 |
| 2000F |
|
1,478 |
1,103 |
$0.00 |
| 2001F |
|
1,506 |
1,121 |
$0.00 |
| 3079F |
|
449 |
341 |
$0.00 |
| 87536 |
|
30 |
29 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
77 |
58 |
$0.00 |
| 1125F |
|
90 |
87 |
$0.00 |
| 3048F |
|
86 |
85 |
$0.00 |
| 1101F |
|
51 |
50 |
$0.00 |
| 82550 |
|
76 |
64 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
122 |
98 |
$0.00 |
| 86803 |
|
59 |
42 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
142 |
110 |
$0.00 |
| 84436 |
|
62 |
54 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
182 |
147 |
$0.00 |
| 1111F |
|
45 |
43 |
$0.00 |
| 86592 |
|
68 |
57 |
$0.00 |
| 82043 |
|
39 |
31 |
$0.00 |
| 1170F |
|
63 |
59 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
19 |
18 |
$0.00 |
| 1123F |
|
45 |
39 |
$0.00 |
| 3075F |
|
192 |
140 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
76 |
56 |
$0.00 |
| 3017F |
|
12 |
12 |
$0.00 |
| 84153 |
|
32 |
26 |
$0.00 |
| 3049F |
|
40 |
39 |
$0.00 |