| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
157 |
146 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
886 |
877 |
$5K |
| 80061 |
Lipid panel |
892 |
889 |
$3K |
| 80053 |
Comprehensive metabolic panel |
330 |
324 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,663 |
1,496 |
$2K |
| 96156 |
|
1,481 |
1,480 |
$2K |
| 0515 |
|
149 |
138 |
$2K |
| G9920 |
Screening performed and negative |
1,334 |
1,333 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
114 |
113 |
$1K |
| 81003 |
|
521 |
517 |
$778.53 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
105 |
105 |
$667.81 |
| 90686 |
|
520 |
519 |
$628.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
372 |
372 |
$598.80 |
| 82465 |
|
402 |
402 |
$578.71 |
| 81001 |
|
257 |
240 |
$554.88 |
| 92551 |
|
1,210 |
1,209 |
$495.90 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
155 |
149 |
$364.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
78 |
78 |
$259.14 |
| V2020 |
Frames, purchases |
12 |
12 |
$255.72 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
441 |
441 |
$252.72 |
| 99188 |
|
189 |
189 |
$249.48 |
| 83655 |
|
27 |
27 |
$233.54 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12 |
12 |
$226.17 |
| 92081 |
|
1,222 |
1,221 |
$156.68 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
534 |
484 |
$154.77 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
406 |
406 |
$148.26 |
| 99406 |
|
308 |
308 |
$123.72 |
| 84439 |
|
12 |
12 |
$85.44 |
| 86592 |
|
25 |
25 |
$77.06 |
| 90620 |
|
41 |
41 |
$54.00 |
| 85018 |
|
914 |
914 |
$51.25 |
| 81000 |
|
670 |
669 |
$40.80 |
| 82947 |
|
15 |
15 |
$38.43 |
| 90651 |
|
102 |
102 |
$9.00 |
| 81002 |
|
69 |
69 |
$6.39 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
161 |
161 |
$0.16 |
| 90734 |
|
121 |
120 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
278 |
259 |
$0.00 |
| S9449 |
Weight management classes, non-physician provider, per session |
12 |
12 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| G0271 |
Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes |
161 |
161 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
12 |
12 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
537 |
537 |
$0.00 |
| 1036F |
|
65 |
65 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
373 |
358 |
$0.00 |
| 3008F |
|
89 |
89 |
$0.00 |