| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
805 |
759 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
389 |
370 |
$12K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
336 |
328 |
$3K |
| 80053 |
Comprehensive metabolic panel |
182 |
178 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
647 |
603 |
$2K |
| 90686 |
|
54 |
54 |
$1K |
| 81001 |
|
327 |
319 |
$1K |
| 80050 |
General health panel |
28 |
26 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
180 |
177 |
$916.08 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
51 |
$706.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
33 |
23 |
$657.11 |
| 80061 |
Lipid panel |
12 |
12 |
$179.94 |
| 87081 |
|
20 |
20 |
$143.29 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$130.56 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$125.43 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$81.94 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
116 |
114 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
354 |
341 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
21 |
21 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
65 |
65 |
$0.00 |