| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,504 |
1,394 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
548 |
544 |
$851.79 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
174 |
172 |
$820.78 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
300 |
299 |
$764.16 |
| 99460 |
|
12 |
12 |
$548.55 |
| 90680 |
|
15 |
13 |
$441.54 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
145 |
142 |
$311.85 |
| 99383 |
|
13 |
13 |
$238.84 |
| 90670 |
|
176 |
174 |
$135.00 |
| 90698 |
|
115 |
113 |
$126.80 |
| 90686 |
|
31 |
31 |
$108.00 |
| 90744 |
|
33 |
32 |
$9.00 |
| 84439 |
|
42 |
42 |
$0.00 |
| 90700 |
|
16 |
16 |
$0.00 |
| 90734 |
|
17 |
17 |
$0.00 |
| 90685 |
|
22 |
22 |
$0.00 |
| 81003 |
|
29 |
29 |
$0.00 |
| 90461 |
|
178 |
174 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
224 |
218 |
$0.00 |
| 80061 |
Lipid panel |
26 |
26 |
$0.00 |
| 90633 |
|
144 |
140 |
$0.00 |
| 90710 |
|
121 |
121 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$0.00 |
| 90715 |
|
16 |
16 |
$0.00 |
| 86003 |
|
14 |
14 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
28 |
28 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| G0402 |
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment |
15 |
15 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
225 |
213 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
48 |
47 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
106 |
101 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
91 |
91 |
$0.00 |
| 90651 |
|
25 |
24 |
$0.00 |
| 90696 |
|
28 |
28 |
$0.00 |