| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,975 |
1,884 |
$34K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
896 |
752 |
$7K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
745 |
647 |
$4K |
| 99307 |
|
1,108 |
1,048 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
119 |
116 |
$1K |
| 99318 |
|
79 |
79 |
$823.91 |
| 99233 |
Prolong inpt eval add15 m |
152 |
69 |
$359.70 |
| 99334 |
|
15 |
14 |
$346.13 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
212 |
93 |
$178.28 |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
14 |
13 |
$162.70 |
| 80053 |
Comprehensive metabolic panel |
1,813 |
1,494 |
$44.71 |
| 84443 |
Thyroid stimulating hormone (TSH) |
515 |
510 |
$38.72 |
| 77080 |
|
40 |
40 |
$31.01 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
67 |
65 |
$28.55 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,271 |
2,281 |
$25.07 |
| 80061 |
Lipid panel |
882 |
876 |
$22.98 |
| 90674 |
|
76 |
75 |
$22.66 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
992 |
828 |
$6.20 |
| G0008 |
Administration of influenza virus vaccine |
101 |
98 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
6,288 |
4,032 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
634 |
623 |
$0.00 |
| P9603 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled |
4,505 |
2,729 |
$0.00 |
| 82550 |
|
139 |
138 |
$0.00 |
| 86140 |
|
192 |
189 |
$0.00 |
| 85652 |
|
193 |
190 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
82 |
81 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
142 |
141 |
$0.00 |
| 84436 |
|
25 |
25 |
$0.00 |
| 81015 |
|
152 |
146 |
$0.00 |
| 84480 |
|
25 |
25 |
$0.00 |
| 99335 |
|
14 |
12 |
$0.00 |
| 99239 |
Hospital discharge day management, more than 30 minutes |
12 |
12 |
$0.00 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
590 |
407 |
$0.00 |
| 90756 |
|
17 |
17 |
$0.00 |
| 80076 |
|
295 |
294 |
$0.00 |
| 80164 |
|
55 |
54 |
$0.00 |
| 82248 |
|
51 |
51 |
$0.00 |
| 81003 |
|
12 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
19 |
$0.00 |