| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$566.34 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$387.59 |
| 80061 |
Lipid panel |
59 |
59 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
39 |
39 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
60 |
57 |
$0.00 |
| 81001 |
|
13 |
13 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
129 |
122 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
48 |
46 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
42 |
41 |
$0.00 |