| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,967 |
4,284 |
$314K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
406 |
355 |
$34K |
| 90677 |
|
99 |
66 |
$25K |
| 90750 |
|
146 |
103 |
$22K |
| 90686 |
|
539 |
391 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
101 |
88 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
176 |
167 |
$7K |
| 90662 |
|
64 |
48 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
33 |
$3K |
| 90656 |
|
104 |
65 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 99215 |
Prolong outpt/office vis |
19 |
15 |
$2K |
| 90715 |
|
31 |
26 |
$995.08 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$737.95 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
34 |
$718.38 |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
24 |
$410.50 |
| 82607 |
|
24 |
24 |
$288.00 |
| 82746 |
|
24 |
24 |
$275.04 |
| 80053 |
Comprehensive metabolic panel |
25 |
24 |
$259.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
25 |
25 |
$221.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$188.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
25 |
25 |
$143.50 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
12 |
$88.20 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$15.17 |