| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
493 |
360 |
$34K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
269 |
160 |
$20K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
298 |
175 |
$13K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
292 |
172 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
255 |
181 |
$11K |
| 90686 |
|
421 |
226 |
$3K |
| 96127 |
|
202 |
122 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
132 |
60 |
$774.90 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
36 |
23 |
$425.92 |
| 80061 |
Lipid panel |
66 |
39 |
$327.78 |
| 85027 |
|
15 |
12 |
$86.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
389 |
181 |
$71.50 |
| 36415 |
Collection of venous blood by venipuncture |
174 |
81 |
$20.50 |