| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
589 |
364 |
$762.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
97 |
66 |
$85.56 |
| 84443 |
Thyroid stimulating hormone (TSH) |
25 |
25 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
829 |
743 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
246 |
231 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
275 |
275 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
198 |
182 |
$0.00 |
| 1220F |
|
13 |
13 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$0.00 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
77 |
73 |
$0.00 |
| 85027 |
|
25 |
25 |
$0.00 |
| 82043 |
|
15 |
15 |
$0.00 |
| 90686 |
|
18 |
18 |
$0.00 |
| 82540 |
|
15 |
15 |
$0.00 |
| 99442 |
|
67 |
64 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
87 |
$0.00 |
| 80061 |
Lipid panel |
241 |
241 |
$0.00 |
| 1033F |
|
31 |
31 |
$0.00 |