| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,886 |
1,611 |
$109K |
| 99490 |
Ccm add 20min |
708 |
679 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
270 |
267 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
116 |
$13K |
| 99457 |
|
343 |
317 |
$9K |
| 80061 |
Lipid panel |
580 |
578 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
591 |
588 |
$5K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
618 |
612 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
624 |
617 |
$4K |
| 81005 |
|
587 |
583 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
20 |
19 |
$400.00 |
| 96160 |
|
297 |
296 |
$327.18 |
| 99050 |
|
42 |
41 |
$210.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$200.98 |
| 36415 |
Collection of venous blood by venipuncture |
139 |
139 |
$0.00 |