| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,226 |
923 |
$50K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
166 |
137 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
211 |
180 |
$1K |
| 87428 |
|
22 |
15 |
$340.91 |
| 84443 |
Thyroid stimulating hormone (TSH) |
35 |
24 |
$268.32 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
72 |
54 |
$226.93 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
21 |
13 |
$178.56 |
| 87400 |
|
18 |
12 |
$155.42 |
| 80061 |
Lipid panel |
15 |
14 |
$46.98 |
| 84460 |
|
12 |
12 |
$40.71 |
| 84450 |
|
12 |
12 |
$39.77 |
| 3074F |
|
20 |
19 |
$0.00 |
| 1126F |
|
16 |
16 |
$0.00 |
| 1036F |
|
54 |
48 |
$0.00 |
| 3078F |
|
54 |
50 |
$0.00 |
| 1159F |
|
70 |
64 |
$0.00 |
| 1160F |
|
70 |
64 |
$0.00 |