| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,067 |
1,850 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
567 |
487 |
$44K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
72 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
29 |
28 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
439 |
416 |
$495.82 |
| 93000 |
|
121 |
107 |
$400.18 |
| 80053 |
Comprehensive metabolic panel |
51 |
48 |
$96.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
122 |
115 |
$5.26 |
| 90756 |
|
29 |
28 |
$0.00 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
13 |
13 |
$0.00 |
| 80061 |
Lipid panel |
15 |
15 |
$0.00 |
| 81003 |
|
14 |
14 |
$0.00 |
| 90686 |
|
74 |
40 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
20 |
17 |
$0.00 |
| 90688 |
|
38 |
35 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
15 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
22 |
19 |
$0.00 |