| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,660 |
1,570 |
$125K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
303 |
301 |
$18K |
| 80061 |
Lipid panel |
321 |
312 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
131 |
130 |
$9K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
123 |
118 |
$8K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
127 |
122 |
$7K |
| 84439 |
|
239 |
232 |
$6K |
| 80053 |
Comprehensive metabolic panel |
207 |
201 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
237 |
226 |
$5K |
| 80074 |
|
45 |
45 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
54 |
52 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
97 |
93 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
48 |
48 |
$3K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
43 |
42 |
$3K |
| 87428 |
|
63 |
56 |
$3K |
| T1015 |
Clinic visit/encounter, all-inclusive |
17 |
14 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
307 |
300 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
46 |
46 |
$2K |
| 99442 |
|
46 |
46 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
51 |
41 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
56 |
54 |
$882.80 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$844.09 |
| 86592 |
|
32 |
32 |
$644.54 |
| 86780 |
|
13 |
13 |
$413.44 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
44 |
44 |
$255.98 |
| 85018 |
|
98 |
96 |
$170.31 |