| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
115 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
79 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
86 |
86 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17 |
17 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
24 |
$916.41 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
34 |
30 |
$845.46 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$623.34 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
32 |
$532.22 |
| 36415 |
Collection of venous blood by venipuncture |
141 |
138 |
$499.49 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
13 |
$456.17 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
13 |
$456.17 |
| 90686 |
|
48 |
48 |
$232.76 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$201.60 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$147.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
16 |
$132.37 |