| Code | Description | Claims | Beneficiaries | Total Paid |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
771 |
768 |
$106K |
| 99243 |
|
991 |
983 |
$86K |
| 99233 |
Prolong inpt eval add15 m |
693 |
150 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,053 |
2,034 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
885 |
855 |
$16K |
| 80053 |
Comprehensive metabolic panel |
1,605 |
1,593 |
$7K |
| 99223 |
Prolong inpt eval add15 m |
80 |
79 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,166 |
1,159 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,744 |
2,725 |
$2K |
| 99401 |
|
64 |
63 |
$655.35 |
| 80061 |
Lipid panel |
92 |
92 |
$482.04 |
| 99205 |
Prolong outpt/office vis |
53 |
53 |
$454.42 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
298 |
298 |
$368.70 |
| 95251 |
|
70 |
69 |
$311.79 |
| 84443 |
Thyroid stimulating hormone (TSH) |
228 |
227 |
$168.00 |
| 84439 |
|
120 |
120 |
$72.16 |
| 90674 |
|
13 |
12 |
$0.32 |
| 83718 |
|
30 |
29 |
$0.00 |
| 82465 |
|
17 |
17 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
125 |
123 |
$0.00 |
| 85651 |
|
37 |
36 |
$0.00 |
| G0245 |
Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education |
12 |
12 |
$0.00 |
| 84478 |
|
12 |
12 |
$0.00 |