| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,514 |
2,245 |
$175K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,469 |
1,336 |
$67K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
38 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
28 |
27 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
15 |
$2K |
| 90686 |
|
91 |
76 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
33 |
31 |
$492.60 |
| 80053 |
Comprehensive metabolic panel |
33 |
30 |
$331.52 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
33 |
30 |
$185.46 |
| 80061 |
Lipid panel |
28 |
26 |
$168.46 |