| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,218 |
5,463 |
$248K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,933 |
1,613 |
$107K |
| 90686 |
|
428 |
298 |
$8K |
| 90677 |
|
18 |
13 |
$5K |
| 90656 |
|
45 |
29 |
$943.68 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$668.78 |
| 36415 |
Collection of venous blood by venipuncture |
90 |
82 |
$328.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
22 |
13 |
$295.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$290.92 |
| 80053 |
Comprehensive metabolic panel |
18 |
13 |
$176.12 |
| 80061 |
Lipid panel |
20 |
13 |
$111.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
18 |
14 |
$94.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$68.88 |
| 3074F |
|
17 |
16 |
$0.00 |
| 3078F |
|
17 |
16 |
$0.00 |