| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,843 |
1,776 |
$98K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
632 |
596 |
$32K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$2K |
| 80061 |
Lipid panel |
89 |
89 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
92 |
91 |
$609.89 |
| 80053 |
Comprehensive metabolic panel |
52 |
52 |
$475.20 |
| 90686 |
|
56 |
56 |
$410.20 |
| 96127 |
|
39 |
39 |
$158.59 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$144.00 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
28 |
$36.51 |