| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
73 |
$150.00 |
| 99215 |
Prolong outpt/office vis |
73 |
73 |
$57.20 |
| 96127 |
|
13 |
13 |
$9.62 |
| 80053 |
Comprehensive metabolic panel |
238 |
229 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
161 |
160 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
444 |
403 |
$0.00 |
| 3080F |
|
46 |
46 |
$0.00 |
| 82607 |
|
12 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
284 |
256 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
174 |
173 |
$0.00 |
| 3074F |
|
89 |
88 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
185 |
184 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 1126F |
|
12 |
12 |
$0.00 |
| 3079F |
|
17 |
17 |
$0.00 |
| 80061 |
Lipid panel |
198 |
197 |
$0.00 |
| 81003 |
|
82 |
82 |
$0.00 |
| 84550 |
|
12 |
12 |
$0.00 |
| 3078F |
|
67 |
67 |
$0.00 |
| 3077F |
|
51 |
51 |
$0.00 |