| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,427 |
2,345 |
$153K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,516 |
1,425 |
$76K |
| 99215 |
Prolong outpt/office vis |
419 |
407 |
$34K |
| 99205 |
Prolong outpt/office vis |
108 |
107 |
$12K |
| 80053 |
Comprehensive metabolic panel |
464 |
461 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
395 |
384 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
943 |
890 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
302 |
301 |
$2K |
| 90686 |
|
322 |
321 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
37 |
37 |
$553.42 |
| 96127 |
|
69 |
68 |
$180.05 |
| 80061 |
Lipid panel |
16 |
16 |
$155.26 |
| Q3014 |
Telehealth originating site facility fee |
13 |
13 |
$73.56 |