| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,814 |
1,680 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,252 |
1,162 |
$32K |
| G0378 |
Hospital observation service, per hour |
353 |
312 |
$12K |
| 0510 |
|
30 |
29 |
$913.12 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
38 |
$373.01 |
| 80061 |
Lipid panel |
24 |
24 |
$262.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
27 |
$220.29 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$195.90 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$111.85 |
| 1159F |
|
1,209 |
1,007 |
$0.00 |
| 1160F |
|
1,189 |
991 |
$0.00 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
25 |
25 |
$0.00 |