| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,111 |
2,707 |
$214K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
611 |
550 |
$27K |
| 90686 |
|
329 |
292 |
$5K |
| 99215 |
Prolong outpt/office vis |
76 |
66 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
36 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
41 |
32 |
$3K |
| 90734 |
|
24 |
16 |
$467.32 |
| 90656 |
|
20 |
13 |
$401.19 |
| 36415 |
Collection of venous blood by venipuncture |
117 |
47 |
$392.42 |
| 90651 |
|
19 |
14 |
$382.01 |
| 84443 |
Thyroid stimulating hormone (TSH) |
43 |
17 |
$303.77 |
| 90715 |
|
19 |
12 |
$243.00 |
| 80053 |
Comprehensive metabolic panel |
33 |
14 |
$124.32 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
43 |
18 |
$100.45 |
| 80061 |
Lipid panel |
31 |
12 |
$68.42 |