| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
810 |
513 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
89 |
79 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
85 |
82 |
$6K |
| 99215 |
Prolong outpt/office vis |
27 |
25 |
$5K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
55 |
52 |
$3K |
| 80061 |
Lipid panel |
44 |
43 |
$2K |
| 80053 |
Comprehensive metabolic panel |
60 |
57 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
12 |
$822.08 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$803.44 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$644.17 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
32 |
28 |
$642.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
33 |
33 |
$531.03 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$528.33 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
15 |
15 |
$505.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
56 |
44 |
$504.85 |
| 86803 |
|
14 |
14 |
$328.89 |
| 86704 |
|
13 |
13 |
$288.18 |
| 86706 |
|
13 |
13 |
$256.74 |
| 87340 |
|
12 |
12 |
$221.55 |
| 36415 |
Collection of venous blood by venipuncture |
21 |
20 |
$146.37 |
| 86592 |
|
12 |
12 |
$91.56 |
| H0033 |
Oral medication administration, direct observation |
147 |
122 |
$1.50 |