| Code | Description | Claims | Beneficiaries | Total Paid |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
2,165 |
1,638 |
$3K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
214 |
196 |
$1K |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
48 |
44 |
$547.53 |
| 80061 |
Lipid panel |
674 |
669 |
$118.03 |
| 80053 |
Comprehensive metabolic panel |
743 |
712 |
$106.81 |
| 84443 |
Thyroid stimulating hormone (TSH) |
431 |
416 |
$103.69 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
592 |
563 |
$87.00 |
| 71046 |
Radiologic examination, chest; 2 views |
27 |
26 |
$73.25 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
345 |
341 |
$72.14 |
| 36415 |
Collection of venous blood by venipuncture |
1,903 |
1,571 |
$53.13 |
| 82947 |
|
693 |
533 |
$49.40 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
410 |
338 |
$31.79 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
140 |
40 |
$26.22 |
| 82043 |
|
218 |
216 |
$21.44 |
| 85027 |
|
332 |
255 |
$15.92 |
| 85610 |
|
496 |
256 |
$14.67 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
29 |
$11.33 |
| 81001 |
|
103 |
97 |
$0.00 |
| 82746 |
|
37 |
37 |
$0.00 |
| 82607 |
|
113 |
112 |
$0.00 |
| 87088 |
|
13 |
12 |
$0.00 |
| 81003 |
|
34 |
31 |
$0.00 |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
55 |
55 |
$0.00 |
| 84439 |
|
83 |
81 |
$0.00 |
| 80076 |
|
13 |
12 |
$0.00 |
| 84520 |
|
29 |
26 |
$0.00 |
| 82565 |
|
18 |
15 |
$0.00 |