| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,508 |
1,284 |
$91K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
63 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$1K |
| 90686 |
|
27 |
26 |
$349.45 |
| 80053 |
Comprehensive metabolic panel |
18 |
16 |
$185.10 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
28 |
27 |
$132.30 |
| 80061 |
Lipid panel |
20 |
18 |
$131.66 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
16 |
$101.14 |
| 36415 |
Collection of venous blood by venipuncture |
20 |
17 |
$80.90 |