| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
498 |
406 |
$10K |
| 97802 |
|
552 |
528 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
117 |
100 |
$5K |
| 92552 |
|
124 |
124 |
$1K |
| 90686 |
|
84 |
82 |
$244.58 |
| 80061 |
Lipid panel |
30 |
29 |
$244.20 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$156.20 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$99.44 |
| 80053 |
Comprehensive metabolic panel |
13 |
13 |
$98.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$57.98 |
| 3008F |
|
367 |
347 |
$0.00 |
| 36416 |
|
123 |
123 |
$0.00 |
| 88738 |
|
138 |
138 |
$0.00 |
| 99173 |
|
65 |
65 |
$0.00 |
| 99401 |
|
143 |
143 |
$0.00 |