| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,904 |
9,011 |
$375K |
| 90747 |
|
45 |
28 |
$6K |
| 90686 |
|
256 |
179 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
44 |
44 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
254 |
219 |
$3K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
56 |
42 |
$1K |
| 90715 |
|
30 |
13 |
$850.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
324 |
228 |
$453.06 |
| 84443 |
Thyroid stimulating hormone (TSH) |
37 |
37 |
$328.40 |
| 80053 |
Comprehensive metabolic panel |
28 |
27 |
$165.76 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
27 |
27 |
$97.65 |
| 80061 |
Lipid panel |
27 |
27 |
$96.41 |
| G0008 |
Administration of influenza virus vaccine |
14 |
13 |
$32.00 |