| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,318 |
1,967 |
$159K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,233 |
1,980 |
$105K |
| 90686 |
|
156 |
115 |
$3K |
| 99383 |
|
15 |
13 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
19 |
13 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
67 |
$1K |
| 96127 |
|
15 |
15 |
$350.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35 |
24 |
$199.55 |
| 80053 |
Comprehensive metabolic panel |
17 |
12 |
$175.00 |