| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
24 |
12 |
$328.32 |
| 84443 |
Thyroid stimulating hormone (TSH) |
28 |
27 |
$221.67 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$89.89 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
26 |
25 |
$71.75 |
| 80053 |
Comprehensive metabolic panel |
15 |
14 |
$67.34 |
| 80061 |
Lipid panel |
15 |
14 |
$52.87 |
| 36415 |
Collection of venous blood by venipuncture |
45 |
42 |
$0.00 |