| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,252 |
3,747 |
$260K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
442 |
414 |
$20K |
| 99215 |
Prolong outpt/office vis |
107 |
98 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
60 |
$6K |
| 90686 |
|
256 |
206 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
55 |
48 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
105 |
36 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
14 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
224 |
211 |
$1K |
| 80053 |
Comprehensive metabolic panel |
32 |
25 |
$322.37 |
| 90656 |
|
15 |
14 |
$297.81 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$218.96 |
| 80061 |
Lipid panel |
14 |
12 |
$68.42 |