| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,804 |
2,345 |
$203K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
90 |
89 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
99 |
96 |
$5K |
| 90686 |
|
149 |
103 |
$2K |
| 90661 |
|
25 |
14 |
$814.11 |
| 80053 |
Comprehensive metabolic panel |
62 |
55 |
$613.92 |
| 84443 |
Thyroid stimulating hormone (TSH) |
35 |
31 |
$558.28 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
52 |
43 |
$292.74 |
| 96160 |
|
34 |
33 |
$284.35 |
| 36415 |
Collection of venous blood by venipuncture |
59 |
55 |
$231.44 |
| 80061 |
Lipid panel |
32 |
31 |
$180.38 |
| 1036F |
|
45 |
35 |
$0.00 |
| 3017F |
|
18 |
12 |
$0.00 |