| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,079 |
1,057 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
580 |
562 |
$37K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
28 |
$4K |
| 80061 |
Lipid panel |
272 |
272 |
$3K |
| 80050 |
General health panel |
59 |
59 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
227 |
227 |
$2K |
| 90686 |
|
25 |
25 |
$454.63 |
| 81003 |
|
202 |
201 |
$431.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$259.78 |
| 96127 |
|
40 |
40 |
$192.78 |
| 80053 |
Comprehensive metabolic panel |
12 |
12 |
$87.66 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$31.22 |
| 96160 |
|
26 |
26 |
$6.75 |