| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,895 |
8,508 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
770 |
609 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$864.83 |
| 1159F |
|
1,629 |
1,178 |
$322.82 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20 |
14 |
$32.40 |
| 1170F |
|
1,359 |
1,026 |
$0.00 |
| 3008F |
|
949 |
631 |
$0.00 |
| 3079F |
|
92 |
65 |
$0.00 |
| 1126F |
|
364 |
274 |
$0.00 |
| 3074F |
|
487 |
362 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
37 |
31 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
14 |
12 |
$0.00 |
| 1101F |
|
54 |
45 |
$0.00 |
| 1125F |
|
31 |
30 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
18 |
12 |
$0.00 |
| 1160F |
|
1,411 |
1,018 |
$0.00 |
| 3078F |
|
267 |
205 |
$0.00 |
| 1124F |
|
351 |
293 |
$0.00 |
| 3077F |
|
32 |
26 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
77 |
63 |
$0.00 |
| 1158F |
|
83 |
68 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
41 |
38 |
$0.00 |
| 1100F |
|
213 |
151 |
$0.00 |
| G9920 |
Screening performed and negative |
372 |
293 |
$0.00 |
| 80061 |
Lipid panel |
18 |
12 |
$0.00 |