| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,598 |
2,315 |
$171K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
559 |
482 |
$26K |
| 90686 |
|
74 |
57 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
74 |
37 |
$287.58 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
18 |
13 |
$11.48 |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
12 |
$8.21 |