| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,304 |
2,821 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
270 |
270 |
$2K |
| 3008F |
|
1,015 |
959 |
$776.00 |
| 92560 |
|
169 |
169 |
$721.45 |
| 36415 |
Collection of venous blood by venipuncture |
854 |
835 |
$529.00 |
| 1159F |
|
2,152 |
1,937 |
$497.00 |
| 80061 |
Lipid panel |
514 |
507 |
$465.13 |
| 1160F |
|
2,021 |
1,821 |
$429.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
97 |
94 |
$274.83 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
356 |
349 |
$248.24 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
29 |
29 |
$232.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
379 |
378 |
$211.25 |
| 81002 |
|
271 |
270 |
$151.35 |
| 99000 |
|
621 |
605 |
$144.01 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
112 |
$132.88 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
68 |
68 |
$63.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
39 |
$30.00 |
| 0521F |
|
56 |
56 |
$29.00 |
| 3048F |
|
28 |
27 |
$18.00 |
| 3044F |
|
259 |
256 |
$18.00 |
| 3078F |
|
433 |
376 |
$18.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
47 |
47 |
$16.00 |
| 3074F |
|
379 |
326 |
$9.00 |
| 1170F |
|
60 |
60 |
$2.00 |
| 82043 |
|
149 |
149 |
$0.00 |
| 3061F |
|
101 |
100 |
$0.00 |
| 99443 |
|
126 |
114 |
$0.00 |
| 3049F |
|
16 |
16 |
$0.00 |
| 3080F |
|
17 |
16 |
$0.00 |
| 3050F |
|
24 |
24 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| 1158F |
|
83 |
83 |
$0.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
17 |
17 |
$0.00 |