| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,884 |
1,718 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
758 |
735 |
$31K |
| 80053 |
Comprehensive metabolic panel |
187 |
183 |
$2K |
| 80061 |
Lipid panel |
140 |
140 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
18 |
$2K |
| 80050 |
General health panel |
14 |
14 |
$675.92 |
| 0012A |
|
12 |
12 |
$528.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
62 |
62 |
$477.40 |
| G0008 |
Administration of influenza virus vaccine |
38 |
38 |
$391.58 |
| 90734 |
|
17 |
13 |
$294.77 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40 |
40 |
$244.20 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$229.77 |
| 90674 |
|
15 |
15 |
$201.45 |
| 99173 |
|
82 |
70 |
$60.45 |
| 92551 |
|
66 |
56 |
$52.80 |
| 91301 |
|
16 |
15 |
$0.00 |
| G9920 |
Screening performed and negative |
104 |
98 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
42 |
37 |
$0.00 |