| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,831 |
1,566 |
$105K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
72 |
71 |
$6K |
| 90686 |
|
188 |
137 |
$4K |
| 90677 |
|
13 |
13 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
39 |
$2K |
| 80053 |
Comprehensive metabolic panel |
88 |
69 |
$867.96 |
| 84443 |
Thyroid stimulating hormone (TSH) |
45 |
41 |
$623.96 |
| 99215 |
Prolong outpt/office vis |
13 |
12 |
$613.57 |
| 80061 |
Lipid panel |
46 |
43 |
$262.28 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
20 |
15 |
$116.58 |
| 36415 |
Collection of venous blood by venipuncture |
23 |
16 |
$94.30 |