| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$287.12 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$95.04 |
| 36415 |
Collection of venous blood by venipuncture |
217 |
202 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
164 |
158 |
$0.00 |
| 84436 |
|
65 |
63 |
$0.00 |
| 84480 |
|
63 |
61 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
91 |
89 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
122 |
118 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
110 |
107 |
$0.00 |
| 84550 |
|
69 |
66 |
$0.00 |
| 81003 |
|
108 |
105 |
$0.00 |
| 80061 |
Lipid panel |
101 |
99 |
$0.00 |