| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
508 |
448 |
$5K |
| 99285 |
Emergency department visit for the evaluation and management, high severity with immediate threat to life |
107 |
100 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
3,452 |
2,599 |
$1K |
| 80061 |
Lipid panel |
498 |
494 |
$688.78 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,850 |
1,609 |
$646.89 |
| 80053 |
Comprehensive metabolic panel |
1,042 |
984 |
$634.91 |
| 84443 |
Thyroid stimulating hormone (TSH) |
355 |
350 |
$451.26 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
208 |
208 |
$176.00 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$110.83 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
147 |
141 |
$54.42 |
| 85610 |
|
36 |
25 |
$21.66 |
| 81001 |
|
26 |
24 |
$3.33 |
| 83735 |
|
14 |
12 |
$0.00 |
| P9604 |
Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge |
16 |
12 |
$0.00 |