| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99205 |
Prolong outpt/office vis |
715 |
451 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
969 |
377 |
$13K |
| 99215 |
Prolong outpt/office vis |
322 |
195 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
380 |
182 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
136 |
95 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
117 |
90 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
283 |
80 |
$2K |
| 99406 |
|
595 |
268 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
943 |
430 |
$596.44 |
| 84443 |
Thyroid stimulating hormone (TSH) |
71 |
57 |
$45.88 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
68 |
55 |
$37.17 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
70 |
57 |
$33.10 |
| 80053 |
Comprehensive metabolic panel |
71 |
57 |
$28.84 |
| 80061 |
Lipid panel |
71 |
56 |
$27.42 |
| 4004F |
|
105 |
80 |
$0.00 |