| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
359 |
326 |
$41K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
142 |
122 |
$399.50 |
| 80053 |
Comprehensive metabolic panel |
46 |
43 |
$217.40 |
| 80061 |
Lipid panel |
13 |
13 |
$179.14 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$140.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
13 |
$60.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
13 |
12 |
$0.00 |