| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,343 |
1,037 |
$80K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
155 |
125 |
$7K |
| 90686 |
|
72 |
65 |
$1K |
| 80053 |
Comprehensive metabolic panel |
36 |
28 |
$372.96 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
49 |
41 |
$269.78 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$164.20 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$53.30 |