| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
625 |
591 |
$154K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,429 |
1,344 |
$72K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
99 |
99 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
97 |
97 |
$5K |
| 98967 |
|
120 |
108 |
$2K |
| 80061 |
Lipid panel |
115 |
115 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$926.40 |
| 98966 |
|
46 |
42 |
$479.32 |
| 90686 |
|
13 |
13 |
$390.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
28 |
$367.89 |
| 80053 |
Comprehensive metabolic panel |
24 |
24 |
$343.68 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$277.80 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$240.37 |
| 99442 |
|
13 |
13 |
$216.97 |