| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,397 |
2,082 |
$141K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
64 |
62 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
26 |
24 |
$2K |
| 90686 |
|
70 |
56 |
$1K |
| 80053 |
Comprehensive metabolic panel |
71 |
68 |
$720.20 |
| 84443 |
Thyroid stimulating hormone (TSH) |
26 |
26 |
$377.66 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
66 |
63 |
$355.88 |
| 80061 |
Lipid panel |
12 |
12 |
$68.42 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
12 |
$45.10 |