| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,099 |
1,071 |
$240K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
661 |
642 |
$61K |
| 80061 |
Lipid panel |
328 |
328 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
166 |
162 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
302 |
298 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
40 |
36 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 86803 |
|
30 |
30 |
$589.50 |
| 90686 |
|
15 |
15 |
$450.00 |
| 85027 |
|
50 |
50 |
$445.50 |
| 90688 |
|
12 |
12 |
$360.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$279.02 |
| 82565 |
|
12 |
12 |
$84.84 |
| 81003 |
|
13 |
12 |
$40.30 |