| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
597 |
544 |
$307.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,717 |
1,257 |
$157.96 |
| 85018 |
|
436 |
435 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
286 |
273 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
451 |
441 |
$0.00 |
| 1220F |
|
365 |
352 |
$0.00 |
| 92551 |
|
265 |
211 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
40 |
40 |
$0.00 |
| 99441 |
|
13 |
12 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
499 |
498 |
$0.00 |
| 85014 |
|
435 |
435 |
$0.00 |
| 90658 |
|
225 |
225 |
$0.00 |
| 84450 |
|
58 |
58 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
572 |
523 |
$0.00 |
| 80061 |
Lipid panel |
301 |
301 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
26 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
61 |
32 |
$0.00 |
| 99173 |
|
271 |
211 |
$0.00 |
| 82947 |
|
74 |
72 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
141 |
88 |
$0.00 |
| 90649 |
|
12 |
12 |
$0.00 |
| 90461 |
|
56 |
56 |
$0.00 |