| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
313 |
226 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
29 |
$2K |
| 81025 |
|
231 |
231 |
$646.77 |
| 99000 |
|
136 |
136 |
$482.92 |
| 80061 |
Lipid panel |
231 |
231 |
$0.00 |
| 81003 |
|
137 |
136 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
175 |
175 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
80 |
78 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
209 |
208 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
200 |
197 |
$0.00 |
| 82043 |
|
16 |
16 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
162 |
162 |
$0.00 |