| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99233 |
Prolong inpt eval add15 m |
867 |
208 |
$39K |
| 99223 |
Prolong inpt eval add15 m |
307 |
247 |
$27K |
| 99215 |
Prolong outpt/office vis |
123 |
102 |
$6K |
| 11042 |
Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm |
33 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$733.70 |
| 84443 |
Thyroid stimulating hormone (TSH) |
97 |
82 |
$446.84 |
| 36415 |
Collection of venous blood by venipuncture |
558 |
448 |
$442.81 |
| 84480 |
|
97 |
83 |
$350.63 |
| 82947 |
|
333 |
267 |
$343.32 |
| 83001 |
|
79 |
67 |
$306.79 |
| 83002 |
|
79 |
67 |
$305.69 |
| 84146 |
|
68 |
56 |
$298.82 |
| 84439 |
|
98 |
83 |
$239.82 |
| 82533 |
|
70 |
56 |
$226.56 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$173.86 |
| 86140 |
|
93 |
80 |
$119.38 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
65 |
56 |
$107.09 |
| 81000 |
|
117 |
93 |
$91.60 |
| 82670 |
|
16 |
12 |
$33.34 |
| 84436 |
|
98 |
82 |
$23.74 |