| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,432 |
2,166 |
$151K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
484 |
400 |
$40K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
603 |
530 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
92 |
71 |
$7K |
| 90686 |
|
258 |
196 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
25 |
24 |
$2K |
| 90734 |
|
137 |
90 |
$2K |
| 90651 |
|
105 |
76 |
$2K |
| 90633 |
|
39 |
24 |
$606.04 |
| 90656 |
|
26 |
16 |
$484.44 |
| 80053 |
Comprehensive metabolic panel |
45 |
38 |
$455.84 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24 |
24 |
$363.65 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$197.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
31 |
25 |
$168.24 |
| 80061 |
Lipid panel |
13 |
13 |
$81.38 |