| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,256 |
1,472 |
$40K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
12 |
12 |
$2K |
| 80053 |
Comprehensive metabolic panel |
1,186 |
783 |
$649.17 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,458 |
923 |
$640.22 |
| 95117 |
|
38 |
12 |
$354.26 |
| 86140 |
|
1,296 |
819 |
$279.85 |
| 85651 |
|
1,336 |
833 |
$261.09 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
110 |
72 |
$208.61 |
| 36415 |
Collection of venous blood by venipuncture |
660 |
443 |
$161.61 |
| 84443 |
Thyroid stimulating hormone (TSH) |
61 |
40 |
$27.83 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
22 |
12 |
$15.40 |
| 84439 |
|
19 |
12 |
$2.06 |
| 86769 |
|
19 |
13 |
$0.00 |