| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
460 |
440 |
$365.35 |
| 3008F |
|
402 |
375 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
44 |
44 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
209 |
205 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
27 |
27 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
130 |
125 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
262 |
251 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
38 |
38 |
$0.00 |
| 99385 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
289 |
275 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
145 |
143 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
43 |
42 |
$0.00 |
| 1220F |
|
33 |
33 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| 1000F |
|
17 |
17 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
14 |
13 |
$0.00 |
| 3700F |
|
14 |
14 |
$0.00 |
| 1159F |
|
89 |
86 |
$0.00 |
| 80061 |
Lipid panel |
115 |
114 |
$0.00 |
| 92081 |
|
108 |
107 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
25 |
$0.00 |
| 90649 |
|
15 |
15 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
14 |
13 |
$0.00 |
| 92552 |
|
106 |
106 |
$0.00 |
| 4551F |
|
74 |
73 |
$0.00 |
| 90653 |
|
13 |
13 |
$0.00 |
| 97803 |
|
46 |
46 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$0.00 |