| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
481 |
447 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
578 |
519 |
$24K |
| 36415 |
Collection of venous blood by venipuncture |
863 |
785 |
$2K |
| 80053 |
Comprehensive metabolic panel |
171 |
163 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
124 |
111 |
$698.73 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
38 |
38 |
$417.94 |
| 80061 |
Lipid panel |
31 |
28 |
$364.39 |
| 90686 |
|
27 |
27 |
$339.58 |
| 84443 |
Thyroid stimulating hormone (TSH) |
16 |
13 |
$219.48 |
| 0002A |
|
12 |
12 |
$144.05 |
| 0001A |
|
12 |
12 |
$142.66 |
| 99072 |
|
15 |
15 |
$125.00 |