| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
50 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
50 |
$28K |
| 36415 |
Collection of venous blood by venipuncture |
40 |
37 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
46 |
44 |
$6K |
| 90656 |
|
21 |
21 |
$5K |
| 91322 |
|
26 |
26 |
$4K |
| 90480 |
|
27 |
27 |
$4K |
| 90686 |
|
18 |
18 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
31 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
36 |
35 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
37 |
36 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$0.00 |
| 92015 |
Determination of refractive state |
18 |
18 |
$0.00 |
| 81003 |
|
13 |
13 |
$0.00 |