| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,950 |
1,501 |
$60K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
615 |
524 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
60 |
29 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,592 |
1,254 |
$2K |
| 99490 |
Ccm add 20min |
579 |
373 |
$2K |
| 80053 |
Comprehensive metabolic panel |
366 |
302 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
644 |
511 |
$939.48 |
| 80061 |
Lipid panel |
393 |
291 |
$767.14 |
| 84443 |
Thyroid stimulating hormone (TSH) |
149 |
115 |
$389.74 |
| 83735 |
|
223 |
181 |
$378.85 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
237 |
188 |
$354.46 |
| 81002 |
|
305 |
244 |
$251.64 |
| 84439 |
|
92 |
75 |
$195.13 |
| 82044 |
|
15 |
15 |
$18.08 |
| 3074F |
|
683 |
606 |
$0.00 |
| 1126F |
|
713 |
641 |
$0.00 |
| 1036F |
|
970 |
813 |
$0.00 |
| 3008F |
|
852 |
737 |
$0.00 |
| 3079F |
|
63 |
62 |
$0.00 |
| 1034F |
|
64 |
37 |
$0.00 |
| 1125F |
|
73 |
54 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
15 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
47 |
28 |
$0.00 |
| 1159F |
|
540 |
454 |
$0.00 |
| 3078F |
|
606 |
540 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
12 |
$0.00 |
| 1160F |
|
540 |
454 |
$0.00 |