| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,800 |
4,845 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,530 |
2,781 |
$107K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,682 |
1,477 |
$33K |
| 36415 |
Collection of venous blood by venipuncture |
2,579 |
2,037 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
186 |
163 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
843 |
663 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
942 |
847 |
$5K |
| 80061 |
Lipid panel |
529 |
457 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
112 |
95 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
158 |
144 |
$3K |
| 87428 |
|
54 |
44 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
60 |
52 |
$3K |
| 90688 |
|
155 |
121 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
42 |
31 |
$503.38 |
| 87430 |
|
27 |
26 |
$312.26 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
25 |
25 |
$256.01 |
| G0008 |
Administration of influenza virus vaccine |
177 |
148 |
$165.45 |
| 81003 |
|
107 |
98 |
$70.80 |
| 82570 |
|
14 |
12 |
$43.56 |
| 3079F |
|
93 |
92 |
$0.00 |
| 3074F |
|
86 |
82 |
$0.00 |
| 3044F |
|
39 |
37 |
$0.00 |
| 1101F |
|
12 |
12 |
$0.00 |
| 1220F |
|
92 |
92 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
154 |
124 |
$0.00 |
| 1125F |
|
43 |
43 |
$0.00 |
| 1124F |
|
63 |
60 |
$0.00 |
| 1159F |
|
26 |
26 |
$0.00 |
| 3078F |
|
52 |
48 |
$0.00 |
| 90662 |
|
13 |
13 |
$0.00 |