| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,000 |
1,774 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
345 |
313 |
$8K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
155 |
146 |
$832.83 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
127 |
$74.24 |
| 3008F |
|
2,375 |
2,067 |
$60.00 |
| 3080F |
|
375 |
336 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
293 |
289 |
$0.00 |
| 3074F |
|
1,416 |
1,262 |
$0.00 |
| 3044F |
|
181 |
167 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
405 |
383 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
250 |
245 |
$0.00 |
| 3079F |
|
855 |
796 |
$0.00 |
| 3075F |
|
396 |
374 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
253 |
246 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
265 |
260 |
$0.00 |
| 85027 |
|
13 |
13 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
18 |
$0.00 |
| 1000F |
|
94 |
94 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
185 |
184 |
$0.00 |
| 1220F |
|
48 |
48 |
$0.00 |
| 3351F |
|
13 |
13 |
$0.00 |
| 81003 |
|
208 |
202 |
$0.00 |
| 3078F |
|
1,118 |
998 |
$0.00 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
84 |
84 |
$0.00 |
| 80061 |
Lipid panel |
258 |
254 |
$0.00 |
| 3077F |
|
495 |
453 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
55 |
53 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
38 |
38 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$0.00 |