| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90792 |
Psychiatric diagnostic evaluation with medical services |
55 |
54 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
91 |
$6K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
14 |
$993.90 |
| 84443 |
Thyroid stimulating hormone (TSH) |
15 |
14 |
$650.77 |
| 82607 |
|
15 |
14 |
$605.95 |
| 84439 |
|
14 |
13 |
$421.16 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$371.14 |
| 84460 |
|
14 |
13 |
$331.40 |
| 84450 |
|
13 |
12 |
$319.92 |