| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,476 |
3,039 |
$169K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
65 |
62 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
997 |
673 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
27 |
27 |
$2K |
| 90686 |
|
69 |
69 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
80 |
79 |
$972.69 |
| 92557 |
|
29 |
29 |
$898.06 |
| 80053 |
Comprehensive metabolic panel |
86 |
85 |
$780.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$492.44 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$262.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
78 |
77 |
$234.08 |
| 80061 |
Lipid panel |
43 |
43 |
$211.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
62 |
62 |
$171.18 |
| 86702 |
|
13 |
13 |
$164.45 |
| 99173 |
|
35 |
35 |
$160.00 |
| 86701 |
|
13 |
13 |
$120.67 |
| 81001 |
|
31 |
31 |
$119.36 |
| 81000 |
|
68 |
67 |
$92.00 |
| 82465 |
|
15 |
15 |
$75.45 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$63.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
26 |
26 |
$0.24 |
| 83550 |
|
15 |
15 |
$0.00 |
| 82728 |
|
16 |
16 |
$0.00 |