| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
587 |
535 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
865 |
789 |
$18K |
| 97802 |
|
332 |
322 |
$5K |
| 80061 |
Lipid panel |
106 |
106 |
$928.04 |
| 80053 |
Comprehensive metabolic panel |
115 |
114 |
$740.73 |
| 99215 |
Prolong outpt/office vis |
14 |
12 |
$666.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
114 |
101 |
$617.26 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
109 |
108 |
$559.68 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
99 |
99 |
$446.07 |
| 84443 |
Thyroid stimulating hormone (TSH) |
41 |
41 |
$175.87 |
| 3008F |
|
277 |
268 |
$0.00 |