| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,982 |
1,764 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,169 |
1,012 |
$51K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
15 |
$3K |
| 90686 |
|
32 |
29 |
$534.41 |
| 84443 |
Thyroid stimulating hormone (TSH) |
12 |
12 |
$180.62 |
| 80053 |
Comprehensive metabolic panel |
15 |
13 |
$145.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
12 |
$74.62 |