| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
535 |
456 |
$35K |
| 90686 |
|
195 |
159 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
35 |
26 |
$558.28 |
| 90656 |
|
29 |
17 |
$555.33 |
| 80053 |
Comprehensive metabolic panel |
47 |
38 |
$486.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
21 |
19 |
$252.99 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
17 |
12 |
$97.58 |