| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
955 |
908 |
$211K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
184 |
176 |
$18K |
| 80061 |
Lipid panel |
353 |
352 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
406 |
403 |
$6K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
12 |
12 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
35 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
26 |
$601.90 |
| 90686 |
|
14 |
14 |
$420.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
25 |
25 |
$281.50 |
| 84460 |
|
12 |
12 |
$132.68 |
| 82565 |
|
12 |
12 |
$126.96 |
| 85027 |
|
13 |
13 |
$115.83 |