| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,265 |
5,046 |
$396K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,605 |
3,498 |
$393K |
| 90688 |
|
292 |
292 |
$4K |
| 80053 |
Comprehensive metabolic panel |
204 |
203 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
264 |
263 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
2,100 |
1,937 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
99 |
99 |
$910.29 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
181 |
176 |
$571.32 |
| 80061 |
Lipid panel |
65 |
65 |
$411.68 |
| 90658 |
|
26 |
26 |
$367.50 |
| 81002 |
|
140 |
138 |
$284.62 |
| G8482 |
Influenza immunization administered or previously received |
236 |
235 |
$0.00 |