| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,247 |
3,012 |
$194K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,577 |
3,337 |
$144K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
162 |
136 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
48 |
47 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
30 |
25 |
$3K |
| 90686 |
|
138 |
111 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
21 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
38 |
36 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
14 |
$934.18 |
| 90715 |
|
21 |
15 |
$306.45 |
| 90656 |
|
12 |
12 |
$249.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$231.88 |
| 80061 |
Lipid panel |
27 |
27 |
$130.62 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
19 |
13 |
$109.06 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
17 |
12 |
$107.10 |
| 90633 |
|
13 |
13 |
$100.67 |
| 36415 |
Collection of venous blood by venipuncture |
1,001 |
929 |
$54.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
126 |
86 |
$0.00 |
| 80050 |
General health panel |
12 |
12 |
$0.00 |