| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,244 |
1,174 |
$52K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,391 |
2,279 |
$48K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
205 |
205 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
116 |
116 |
$2K |
| 80061 |
Lipid panel |
77 |
75 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
256 |
241 |
$692.39 |
| 90686 |
|
190 |
189 |
$641.21 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
213 |
212 |
$585.15 |
| 90688 |
|
18 |
18 |
$352.30 |
| 99173 |
|
183 |
182 |
$351.79 |
| 80053 |
Comprehensive metabolic panel |
30 |
28 |
$309.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
550 |
529 |
$285.31 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
59 |
59 |
$261.19 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
24 |
$211.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
12 |
$160.16 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$113.85 |
| 3079F |
|
16 |
16 |
$0.00 |
| 3008F |
|
56 |
56 |
$0.00 |
| 96150 |
|
33 |
32 |
$0.00 |
| 3074F |
|
24 |
23 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$0.00 |
| 3078F |
|
16 |
16 |
$0.00 |