| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
555 |
527 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
289 |
271 |
$20K |
| T1015 |
Clinic visit/encounter, all-inclusive |
219 |
135 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
30 |
30 |
$924.87 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
47 |
44 |
$615.15 |
| 81002 |
|
185 |
178 |
$526.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
38 |
38 |
$487.52 |
| 80053 |
Comprehensive metabolic panel |
35 |
34 |
$381.15 |
| 84443 |
Thyroid stimulating hormone (TSH) |
16 |
16 |
$306.40 |
| 85018 |
|
59 |
59 |
$159.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
18 |
$152.10 |