| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
731 |
585 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
543 |
436 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
445 |
402 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
631 |
542 |
$2K |
| 80053 |
Comprehensive metabolic panel |
198 |
186 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
17 |
14 |
$1K |
| 80061 |
Lipid panel |
113 |
107 |
$975.70 |
| 84443 |
Thyroid stimulating hormone (TSH) |
92 |
88 |
$932.45 |
| 90686 |
|
48 |
44 |
$727.93 |
| 81001 |
|
404 |
362 |
$473.95 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
17 |
$440.39 |
| 93000 |
|
18 |
15 |
$265.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
28 |
$261.25 |
| 71046 |
Radiologic examination, chest; 2 views |
15 |
12 |
$232.14 |
| 3074F |
|
1,453 |
1,171 |
$76.22 |
| 3078F |
|
1,450 |
1,166 |
$75.86 |
| 4274F |
|
646 |
559 |
$72.00 |
| 1033F |
|
817 |
681 |
$55.36 |
| 3008F |
|
1,534 |
1,258 |
$45.53 |
| 3044F |
|
262 |
227 |
$36.91 |
| 3017F |
|
191 |
168 |
$20.25 |
| 4040F |
|
145 |
129 |
$19.80 |
| 4037F |
|
374 |
323 |
$19.35 |
| 3015F |
|
211 |
180 |
$13.05 |
| 3048F |
|
118 |
96 |
$10.13 |
| 3725F |
|
188 |
170 |
$9.90 |
| 4010F |
|
55 |
52 |
$3.80 |
| 3700F |
|
29 |
27 |
$1.80 |
| 1160F |
|
1,012 |
820 |
$0.05 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
13 |
12 |
$0.00 |
| 4000F |
|
14 |
12 |
$0.00 |