| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
325 |
283 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
78 |
77 |
$9K |
| 80053 |
Comprehensive metabolic panel |
51 |
43 |
$884.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$804.55 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
12 |
$416.32 |
| 84439 |
|
16 |
12 |
$251.97 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
12 |
$243.16 |
| 36415 |
Collection of venous blood by venipuncture |
35 |
27 |
$114.21 |