| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,701 |
1,335 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
769 |
618 |
$31K |
| 90686 |
|
47 |
42 |
$818.26 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
12 |
$180.62 |
| 80053 |
Comprehensive metabolic panel |
14 |
13 |
$145.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
15 |
14 |
$80.36 |