| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
135 |
134 |
$75.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
307 |
302 |
$24.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
260 |
252 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
207 |
205 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
188 |
188 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
320 |
311 |
$0.00 |
| 3080F |
|
15 |
14 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
219 |
210 |
$0.00 |
| 85652 |
|
85 |
83 |
$0.00 |
| 3075F |
|
15 |
15 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
151 |
151 |
$0.00 |
| 3074F |
|
39 |
39 |
$0.00 |
| 3079F |
|
22 |
22 |
$0.00 |
| 3008F |
|
110 |
106 |
$0.00 |
| 3078F |
|
40 |
40 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
142 |
140 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
283 |
276 |
$0.00 |
| 86431 |
|
43 |
43 |
$0.00 |
| 81003 |
|
154 |
152 |
$0.00 |
| 80061 |
Lipid panel |
192 |
192 |
$0.00 |
| 82274 |
|
27 |
27 |
$0.00 |
| 3077F |
|
37 |
34 |
$0.00 |
| 84403 |
|
14 |
14 |
$0.00 |
| 86003 |
|
13 |
13 |
$0.00 |