| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
3,229 |
2,904 |
$153K |
| 93000 |
|
1,385 |
1,090 |
$2K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
20 |
17 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
21 |
21 |
$424.83 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$390.00 |
| 80061 |
Lipid panel |
23 |
23 |
$370.76 |
| 80053 |
Comprehensive metabolic panel |
25 |
25 |
$318.00 |
| 82274 |
|
16 |
16 |
$306.40 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
18 |
$273.92 |
| 84153 |
|
12 |
12 |
$265.80 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
110 |
103 |
$247.68 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
14 |
$151.97 |
| 82043 |
|
15 |
15 |
$104.40 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
28 |
$71.40 |
| 81000 |
|
17 |
17 |
$64.77 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
32 |
30 |
$58.56 |
| 92553 |
|
251 |
222 |
$38.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
898 |
738 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
17 |
16 |
$0.00 |
| 92015 |
Determination of refractive state |
42 |
42 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
18 |
17 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
329 |
320 |
$0.00 |
| 92002 |
|
38 |
38 |
$0.00 |