| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
356 |
340 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
25 |
$188.13 |
| 80053 |
Comprehensive metabolic panel |
39 |
37 |
$1.70 |
| 84436 |
|
12 |
12 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
42 |
38 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
84 |
75 |
$0.00 |
| 84479 |
|
12 |
12 |
$0.00 |
| 81001 |
|
14 |
13 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
12 |
12 |
$0.00 |