| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,926 |
1,768 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,655 |
2,414 |
$125K |
| 36415 |
Collection of venous blood by venipuncture |
1,570 |
1,434 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
512 |
494 |
$7K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
194 |
185 |
$6K |
| 90686 |
|
235 |
225 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
221 |
214 |
$2K |
| 80053 |
Comprehensive metabolic panel |
142 |
137 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
81 |
80 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
13 |
$720.56 |
| 85027 |
|
86 |
83 |
$522.19 |
| 90688 |
|
29 |
28 |
$436.81 |
| 92551 |
|
56 |
53 |
$385.19 |
| 90656 |
|
37 |
36 |
$367.57 |
| 80061 |
Lipid panel |
26 |
26 |
$367.32 |
| 82570 |
|
24 |
24 |
$119.21 |
| 99173 |
|
68 |
65 |
$96.95 |
| X5622 |
|
12 |
12 |
$0.00 |