| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
771 |
653 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
47 |
$3K |
| 90686 |
|
21 |
16 |
$367.97 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
13 |
$213.46 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
12 |
12 |
$68.88 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$45.10 |