| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,035 |
933 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
563 |
545 |
$38K |
| 80061 |
Lipid panel |
95 |
93 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
150 |
145 |
$2K |
| 80053 |
Comprehensive metabolic panel |
92 |
88 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
13 |
13 |
$925.69 |
| 99442 |
|
28 |
27 |
$664.25 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
31 |
31 |
$283.05 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$195.48 |