| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,476 |
4,612 |
$336K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,849 |
2,569 |
$128K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
261 |
242 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
42 |
$4K |
| 90686 |
|
136 |
86 |
$3K |
| 82948 |
|
368 |
326 |
$1K |
| 90656 |
|
47 |
29 |
$914.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
37 |
16 |
$798.15 |
| 93000 |
|
29 |
28 |
$473.23 |
| 80053 |
Comprehensive metabolic panel |
38 |
32 |
$384.96 |
| 36415 |
Collection of venous blood by venipuncture |
92 |
73 |
$350.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
49 |
44 |
$293.30 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$282.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
12 |
$235.50 |
| 80061 |
Lipid panel |
28 |
26 |
$149.28 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
13 |
$95.91 |
| 81002 |
|
14 |
13 |
$31.20 |