| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,793 |
2,398 |
$193K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
628 |
544 |
$29K |
| 90686 |
|
230 |
170 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
25 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
18 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
67 |
52 |
$1K |
| 80053 |
Comprehensive metabolic panel |
71 |
53 |
$735.56 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
69 |
53 |
$485.21 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
12 |
$61.50 |