| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,920 |
1,880 |
$158K |
| 84443 |
Thyroid stimulating hormone (TSH) |
397 |
396 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
27 |
27 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
39 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
170 |
170 |
$2K |
| 80053 |
Comprehensive metabolic panel |
74 |
74 |
$760.32 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
51 |
51 |
$412.85 |
| 84439 |
|
36 |
36 |
$325.62 |
| 80061 |
Lipid panel |
12 |
12 |
$162.02 |
| 36415 |
Collection of venous blood by venipuncture |
88 |
88 |
$77.68 |
| 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) |
45 |
45 |
$0.00 |