| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,462 |
2,048 |
$153K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
164 |
158 |
$7K |
| 96127 |
|
401 |
340 |
$6K |
| 90686 |
|
244 |
182 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
39 |
29 |
$3K |
| 99215 |
Prolong outpt/office vis |
27 |
25 |
$862.66 |
| 80053 |
Comprehensive metabolic panel |
61 |
60 |
$621.60 |
| 90656 |
|
17 |
14 |
$321.15 |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
13 |
$262.72 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40 |
39 |
$223.86 |
| 80061 |
Lipid panel |
12 |
12 |
$74.64 |