| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
717 |
503 |
$49K |
| 99215 |
Prolong outpt/office vis |
155 |
95 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108 |
81 |
$5K |
| 36415 |
Collection of venous blood by venipuncture |
846 |
595 |
$2K |
| 90960 |
End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits |
61 |
37 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
30 |
$2K |
| 80053 |
Comprehensive metabolic panel |
252 |
197 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
221 |
162 |
$875.24 |
| 84481 |
|
37 |
24 |
$431.97 |
| 11721 |
|
27 |
15 |
$319.99 |
| 84443 |
Thyroid stimulating hormone (TSH) |
39 |
26 |
$319.20 |
| 84439 |
|
19 |
12 |
$126.28 |