| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
907 |
826 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,142 |
1,061 |
$100K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
463 |
453 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
264 |
245 |
$12K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
115 |
107 |
$10K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
115 |
107 |
$10K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
24 |
24 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
187 |
173 |
$5K |
| 87631 |
|
19 |
18 |
$4K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
12 |
12 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
135 |
116 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$2K |
| 85027 |
|
27 |
25 |
$1K |
| 80061 |
Lipid panel |
26 |
25 |
$830.10 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
25 |
$712.28 |
| 84443 |
Thyroid stimulating hormone (TSH) |
22 |
13 |
$709.65 |
| 96127 |
|
15 |
14 |
$516.33 |
| 90480 |
|
12 |
12 |
$384.76 |
| 90686 |
|
23 |
12 |
$11.50 |