| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
397 |
347 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
305 |
251 |
$12K |
| 84443 |
Thyroid stimulating hormone (TSH) |
42 |
37 |
$641.20 |
| 80053 |
Comprehensive metabolic panel |
45 |
40 |
$435.64 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
32 |
27 |
$183.97 |