| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
26 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$1K |
| 80061 |
Lipid panel |
32 |
32 |
$888.07 |
| 80050 |
General health panel |
13 |
13 |
$681.24 |
| 80053 |
Comprehensive metabolic panel |
29 |
29 |
$417.90 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
15 |
$343.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
27 |
27 |
$275.82 |
| 36415 |
Collection of venous blood by venipuncture |
33 |
33 |
$58.79 |