| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,087 |
3,608 |
$271K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
272 |
232 |
$11K |
| 90686 |
|
150 |
98 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
25 |
24 |
$2K |
| 90656 |
|
69 |
39 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
17 |
$781.95 |
| 84443 |
Thyroid stimulating hormone (TSH) |
31 |
25 |
$476.18 |
| 80053 |
Comprehensive metabolic panel |
33 |
27 |
$331.52 |
| 36415 |
Collection of venous blood by venipuncture |
58 |
55 |
$222.60 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
34 |
27 |
$189.42 |
| 80061 |
Lipid panel |
20 |
14 |
$118.18 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
16 |
12 |
$94.50 |