| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
708 |
680 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
205 |
196 |
$17K |
| 99215 |
Prolong outpt/office vis |
32 |
30 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
26 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
70 |
70 |
$2K |
| 80061 |
Lipid panel |
90 |
90 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
116 |
116 |
$2K |
| 90686 |
|
35 |
35 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
26 |
$515.05 |