| Code | Description | Claims | Beneficiaries | Total Paid |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
342 |
260 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
656 |
634 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
121 |
121 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
110 |
109 |
$1K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
33 |
31 |
$1K |
| 80053 |
Comprehensive metabolic panel |
41 |
40 |
$514.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
112 |
112 |
$290.40 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
51 |
51 |
$277.20 |
| 80061 |
Lipid panel |
29 |
29 |
$184.80 |
| 3079F |
|
70 |
68 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
27 |
27 |
$0.00 |
| 3048F |
|
14 |
12 |
$0.00 |
| 3077F |
|
13 |
13 |
$0.00 |
| 3078F |
|
25 |
24 |
$0.00 |