| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,977 |
2,451 |
$200K |
| 90686 |
|
638 |
493 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
195 |
181 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
87 |
85 |
$1K |
| 80053 |
Comprehensive metabolic panel |
44 |
40 |
$445.48 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
61 |
56 |
$332.92 |
| 84443 |
Thyroid stimulating hormone (TSH) |
14 |
14 |
$180.62 |
| 90670 |
|
13 |
12 |
$83.20 |