| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,586 |
1,404 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,228 |
1,096 |
$27K |
| 91320 |
|
13 |
13 |
$788.25 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$495.32 |
| 80061 |
Lipid panel |
70 |
65 |
$474.21 |
| 80053 |
Comprehensive metabolic panel |
166 |
144 |
$387.91 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
85 |
80 |
$309.45 |
| 90480 |
|
13 |
13 |
$240.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
115 |
108 |
$236.20 |
| 90686 |
|
48 |
43 |
$225.79 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
14 |
13 |
$123.93 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
13 |
$111.49 |
| 36415 |
Collection of venous blood by venipuncture |
43 |
41 |
$88.29 |
| 90656 |
|
14 |
14 |
$62.54 |
| 96127 |
|
92 |
88 |
$56.78 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$39.69 |
| 81001 |
|
46 |
38 |
$38.70 |
| 1159F |
|
1,909 |
1,637 |
$0.00 |
| 3078F |
|
911 |
826 |
$0.00 |
| 1160F |
|
652 |
574 |
$0.00 |
| 3077F |
|
42 |
40 |
$0.00 |
| 3074F |
|
1,336 |
1,184 |
$0.00 |
| 3075F |
|
365 |
325 |
$0.00 |
| 3080F |
|
85 |
78 |
$0.00 |
| 4010F |
|
33 |
28 |
$0.00 |
| 3008F |
|
1,782 |
1,514 |
$0.00 |
| 3079F |
|
745 |
664 |
$0.00 |