| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,377 |
3,055 |
$283K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
311 |
271 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
54 |
53 |
$4K |
| 84443 |
Thyroid stimulating hormone (TSH) |
163 |
117 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
52 |
17 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$821.08 |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
18 |
12 |
$634.46 |
| 84439 |
|
107 |
66 |
$585.78 |
| 36415 |
Collection of venous blood by venipuncture |
140 |
125 |
$151.70 |